Association between social participation and health status trajectories in older adults: A 19-year yamanashi healthy life expectancy cohort study (Y-HALE).

Parents' perception of family-centered care in the pediatric intensive care unit: a systematic review of qualitative studies.

Nature-based approaches to dementia, cognitive impairment, and caregiver well-being: A scoping review of gardening and therapeutic strategies.

This study explores the socio-economic and environmental impacts of tourism in Cox’s Bazar. One of the most popular tourist destinations with a focus on sustainable development perspectives in Bangladesh. The aim is to assess the complex interplay between socio-economic outcomes, environmental challenges, and tourism growth while exploring the potential for sustainable tourism practices through sustainable tourism development (STD) model and community-based tourism (CBT) model. A mixedmethod approach was used, utilizing stakeholder interviews and thematic analysis. This methodology identified four key themes such as environmental degradation, social division, cultural destruction, and eco-tourism awareness. It provides a comprehensive view of the challenges and opportunities associated with tourism in the region. The findings reveal that tourism has significantly contributed to economic growth and cultural preservation. However, it has also resulted in several challenges related to ecotourism awareness, such as pollution, habitat loss, rising social inequality and commodification of local culture. While tourism has driven development, these negative outcomes have raised concerns about its long-term sustainability. The research emphasizes the importance of adopting the STD model that balances economic needs with social, and environmental sustainability. Additionally, the CBT model is proposed to empower local communities, ensuring their active participation in tourism management while preserving their environmental and cultural heritage for eco-tourism. The study provides actionable recommendations for policymakers to ensure that tourism contributes to long-term economic resilience, environmental sustainability and social equity in Cox’s Bazar. These encompass policies promoting sustainable tourism, local engagement, environmental safeguards, and economic diversification to reduce dependency on tourism. Furthermore, the adoption of STD model and CBT model can guide future tourism practices, ensuring inclusivity and environmental responsibility in the region.

This study addresses the critical role of family involvement in speech and language therapy for children with special needs. In this study, the level of involvement of families in the process and their participation models in different therapy approaches were compared. The literature shows that the active participation of families in the therapy process accelerates children's language development, increases the long-term effects of therapeutic interventions and supports the sustainability of the learning process. The active participation of families in therapies enhances parent‒child interaction, and this interaction increases learning opportunities in the child's daily life and ensures more effective implementation of therapy goals. In this study, proper adult behaviors, effective strategies that families can use in communication, and factors that increase therapist–family cooperation are described in detail. The results revealed that the education of parents in the therapy processes offered to children with special needs should be supported by the principles of therapeutic cooperation and adult learning. When therapists collaborate with families to individualize the learning process, it facilitates the generalization of therapy goals into everyday life. In conclusion, the main factors that ensure effective family involvement in speech and language therapy were identified and explained. Furthermore, the study highlights the importance of tailored training programs for parents, which empower them to reinforce therapy techniques at home, thereby enhancing the overall efficacy and consistency of the intervention process.

ABSTRACT Contemporary educational approaches aim to ensure a high level of student engagement and motivation, which is particularly important in fields such as music education. One of the most widespread innovative models is the flipped classroom, which emphasises the development of student autonomy and active participation in the learning process. The purpose of this study was to examine the impact of the flipped classroom on students’ motivation to learn the violin from the perspective of educational psychology. The study involved 124 students from two Chinese universities. The participants, both undergraduate and graduate students, had an average of 6.3 years of violin training experience (SD = 2.1). Each participant received either traditional or innovative instruction. Data collection was conducted through surveys and interviews. From the practical standpoint, the findings establish the flipped classroom as an impactful instructional strategy that effectively enhances students’ intrinsic motivation, improves the educational environment, and contributes to the development of professional skills.

This article examines the economic, cultural, educational, charitable, and ethno-confessional non-political public associations in Nizhny Tagil in the early twentieth century. A thorough analysis of their activities provides valuable insights into public life in the Ural factories. This analysis also outlines the socio-cultural portrait of its most active participants and demonstrates the development of civic activity in the Urals. To illustrate these points, the author refers to one of the largest factory settlements in the Middle Urals. The source base of the study is represented by the administrative documentation of public organisations in Nizhny Tagil, local self-government bodies, statistical materials, and articles from periodicals. The use of system analysis methods, involving the use of analysis and synthesis, induction and deduction in relation to information from historical sources, as well as classification and typology, make it possible to identify the main vectors of activity of public organisations and the leading types of public associations. The work reveals the role of the Perm Provincial and Verkhoturye District Zemstvos in the organisation and functioning of local public associations. It has been determined that the primary areas of their activity during the period under review were material well-being, charity, education, and leisure. The article presents a numerical composition of public associations, highlighting the active participation of entrepreneurs, officials, teachers, doctors, and clergymen. In the early twentieth century, the Nizhny Tagil factory settlement saw trends characteristic of public life in Ural cities: broad sections of the population were involved, and their representatives often put forward public initiatives. An analysis of the goals, membership, operating principles, sources of funding, and nature of interaction with the authorities of these public associations shows that during the period under study, the ideas of citizenship and humanism were widespread not only in urban areas but also in large factory settlements in the Urals.

Purpose: This study examines how cultural legal values are internalized among elementary school students in Kuala Lumpur, and how this process strengthens their awareness of cultural heritage rights as part of their national identity. Research Methodology: The study was conducted at Sanggar Bimbingan Pantai Dalam through an International Community Service Program involving 15 upper-grade elementary students (aged 10–12). It applied an educative-participatory approach within a juridical-normative framework, using culture-based learning materials, multimedia resources, discussions, simulations, and case exercises. Data were obtained from pre- and post-tests, complemented by observations and reflections, and analyzed descriptively to assess changes in learning outcomes. Results: The findings indicate an improved understanding of cultural heritage and greater awareness of cultural rights, reflected in higher post-test scores and more active participation. Students also demonstrated stronger moral responsibility for cultural preservation and increased tolerance in a multicultural context. Conclusions: This study concludes that integrating cultural legal values through structured classroom learning, co-curricular activities, and teacher role modeling effectively strengthens students’ knowledge and character development. This approach supports the development of legal awareness and respect for cultural diversity from an early age. Limitations: This study had a small sample size, single-institution focus, absence of a control group, brief implementation period, and evaluation methods that emphasized cognitive outcomes. Future research should involve broader samples, longitudinal designs, control groups, and more comprehensive assessment tools. Contributions: This study contributes to legal, multicultural, and character education by offering a practical model for value-based cultural learning in elementary schools.

This study explores how the multifaceted servicescape of wellness hotels influences customers’ intentions to revisit and recommend, with customer satisfaction acting as a mediating mechanism. Drawing on the Stimulus–Organism–Response (S-O-R) model and experiential marketing theory, this study conceptualizes servicescape across four dimensions: sensory, social, wellness-related activities, and cultural experiences. Survey responses were gathered from 483 Korean adults who had visited a wellness hotel within the last six months. The data were processed using SPSS (version 27.0) and AMOS (version 23.0). Findings suggest that while sensory, social, and wellness activity experiences have a significant positive impact on satisfaction, cultural experience does not yield the same effect. Satisfaction mediates both revisit and recommendation intentions. Moreover, multi-group analysis confirmed that wellness interest moderates the influence of sensory and wellness activity experiences on satisfaction. Notably, individuals with a high interest in wellness report increased satisfaction through active participation in wellness programs, whereas those with low wellness interest show greater responsiveness to sensory aspects. Theoretically, this study contributes to the existing body of literature by embedding wellness psychology and sustainable development goals (SDGs 3 and 12) into servicescape research. In terms of managerial implications, this study emphasizes the need for wellness hotels to improve sensory-based designs and experiential service quality, while also segmenting their strategies based on customers’ wellness profiles. By presenting an integrated model that connects experiential value, satisfaction, and behavioral intention, this study provides deeper insights into sustainable wellness tourism from both academic and practical perspectives.

This research is driven by the low interest of students in the subject of Aqidah Akhlak at MTs Darul Huda Bandar Lampung, specifically characterized by minimal engagement and attention. Preliminary findings indicated that while students experienced feelings of enjoyment, their enthusiasm did not translate into active participation or optimal learning focus. This study aims to determine the effect of the Talking Stick-based Team Games Tournament (TGT) learning model on students' learning interests. The research involved class VIII D as the experimental group and class VIII C as the control group, using a quantitative quasi-experimental approach with a post-test-only control group design. The results of the independent sample t-test yielded a significance value (p-value) of 0.017, which is significantly below the 0.05 alpha threshold, confirming a substantial difference in engagement levels between the active experimental class and the passive control class. The combination of academic tournaments and Talking Stick media proved effective in creating a fun, competitive, and focused classroom atmosphere, thereby significantly increasing student involvement dynamics. This study contributes to the field of pedagogy by providing empirical evidence that integrating collaborative game-based models with interactive media can effectively address student passivity and enhance learning motivation in religious education contexts.

This study examines the strategic role of student teachers in the Teaching Practicum Program (PPL) in enhancing learning effectiveness through the integration of religiosity and ecological literacy approaches in Islamic senior secondary education. The research is grounded in the growing need to strengthen spiritual character and environmental awareness as foundations for meaningful and sustainable learning. The objective is to analyze how student teachers design, implement, and evaluate instructional practices that incorporate religious habituation and ecological literacy programs to improve student engagement and learning outcomes. A descriptive qualitative approach was employed, utilizing participatory observation, in-depth interviews, and documentation. The participants included student teachers, mentor teachers, and students. Data were analyzed systematically through data reduction, display, and conclusion drawing. The findings indicate that integrating religious practices such as daily worship routines and value-based reflection and ecological literacy activities, including environmental projects and school cleanliness programs, significantly enhance students’ discipline, motivation, and active participation. This study contributes theoretically to the development of character- and sustainability-based learning models and offers practical implications for educational institutions in optimizing the transformative role of student teachers in fostering holistic and contextual learning environments.

This study examined the influence of educational environment and self-regulated learning on the scientific epistemic beliefs of senior high school students. Anchored on Bandura’s social cognitive theory, Vygotsky’s constructivist perspective, and Zimmerman’s social cognitive model of self-regulated learning, the study investigated how supportive learning conditions and students’ regulation of their own learning relate to their understanding of scientific knowledge and inquiry. A quantitative descriptive-correlational design was employed. The respondents were 306 Grade 12 students selected through stratified random sampling from Cateel Vocational High School and San Antonio National High School in Cateel, Davao Oriental, during the first semester of the 2025–2026 school year. Data were gathered using three adapted instruments: the Dundee Ready Education Environment Measure (DREEM), the Adaptive Self-Regulated Learning Questionnaire (ASRQ), and the Scientific Epistemic Belief (SEB) Survey. Mean, Pearson’s r, and linear regression were used in data analysis. The findings showed that the educational environment, self-regulated learning, and scientific epistemic beliefs were all at high levels. Students’ perception of learning obtained the highest mean under educational environment, self-evaluation and environmental structuring were strongest under self-regulated learning, and justification had the highest mean under scientific epistemic beliefs. The study also found significant positive relationships between educational environment and scientific epistemic beliefs, and between self-regulated learning and scientific epistemic beliefs. Regression analysis further showed that educational environment and self-regulated learning significantly influenced scientific epistemic beliefs, with perception of atmosphere and self-evaluation emerging as significant predictors. The study concluded that supportive educational settings and effective self-regulated learning behaviors contribute to stronger scientific epistemic beliefs among senior high school students. It recommended strengthening participatory learning activities, supportive classroom practices, self-regulated learning programs, and continuous evaluation of the school learning environment. The study aligns with SDG 4 by supporting quality education through improved science learning, critical thinking, and student engagement. It also relates to SDG 8 and SDG 9 through the development of scientific reasoning and skills relevant to future work and innovation. The study contributes to educational, institutional, and socio-economic sustainability by informing school practices that strengthen learner resilience, academic confidence, and meaningful participation in science education.

The 68th Malaysian Independence Day celebration, carrying the theme “Malaysia Madani: Rakyat Disantuni,” was held on August 28, 2025, at Sekolah Menengah Islam (SMI) Ad-Dimyati, Kuala Selangor, aiming to instill the spirit of patriotism, solidarity, and love for the homeland among the school community. This study employed a descriptive qualitative approach using a case study method through participatory observation, documentation, and thematic analysis. The findings revealed that a series of activities such as classroom decoration competitions, flag-raising ceremonies, poetry recitations, and patriotic song performances effectively strengthened national character values and enhanced the active participation of the entire school community, including teachers, staff, students, and KKN (Community Service Program) students. Beyond a ceremonial celebration, this event served as a means of character education integrated with real-life experiences, aligning with the concept of hidden curriculum in education. These findings emphasize the importance of national day commemorations in educational institutions as a medium for learning historical values, national identity, and social solidarity. Therefore, the Independence Day celebration at SMI Ad-Dimyati can serve as an ideal model for other schools in integrating character education with contextual and reflective national activities.

Drug utilization research was critical in assessing medication prescribing, use, and management. This was particularly important in neonatal intensive care units, where evidence from clinical trials was limited, and treatment decisions relied heavily on real-world practice. This study aimed to analyze drug utilization patterns and evaluate prescribing practices using the WHO core indicators. A cross-sectional, observational, and retrospective study was conducted in the Neonatal Intensive Care Unit, Zawia, Libya, from September to December 2023. Data from neonates who received at least one medication were collected, including demographic characteristics, clinical outcomes, and prescribed drugs. Medications were categorized using the World Health Organization Anatomical Therapeutic Chemical classification, and prescribing practices were evaluated using World Health Organization core indicators. Of the 372 neonates admitted, 167 met the inclusion criteria. The mean length of stay was 7.52 days, with a discharge rate of 55.7% and a mortality rate of 17.4%. Neonatal sepsis (71.2%) and respiratory distress syndrome (50.3%) were the most prevalent conditions. A total of 853 medications were prescribed, with anti-infective agents accounting for 68.2%. Gentamicin (98.2%) and ampicillin (96.4%) were the most frequently used medications. The average number of drugs per neonate was 5.1, and 96.8% of prescribed drugs were listed in the Libyan Essential Medicines List. The findings emphasized the importance of effective antibiotic stewardship and strengthened infection control to prevent neonatal complications. Strategies such as the active participation of clinical pharmacists and the implementation of therapeutic drug monitoring were recommended to optimize medication use, enhance medication safety, and improve treatment outcomes in neonatal intensive care units.

The article examines corporate culture as a critical factor in the successful adaptation of an enterprise's business processes to the conditions of digital transformation. The author's vision is based on the understanding that digital technologies in themselves do not create a transformational effect if the organization does not have a culture capable of supporting innovation, openness, flexibility and rapid learning. Corporate culture is considered as a system of behavioral norms, collective beliefs and value orientations that determine the readiness of personnel for change, the level of digital decision-making and the degree of their real impact on business processes.The study analyzes the key structural elements of culture that can facilitate or, conversely, hinder digital transformation. It is shown that successful organizations form a culture built on trust, mutual respect, psychological safety, encouragement of teamwork, cross-functional interaction and customer orientation. Special attention is paid to the development of digital competencies, which include not only technical skills, but also the ability to think with data, work in flexible organizational structures and make decisions based on analytics.A special emphasis is placed on the role of leadership in shaping a digitally oriented corporate culture. It is determined that managers should not only proclaim the course towards digitalization, but also personally demonstrate new models of behavior, support experimentation, facilitate learning and form transparent communication practices. It is shown that without the active participation of management, changes remain superficial and do not turn into long-term transformation of business processes.The article specifies the mechanisms of interaction of corporate culture with the effectiveness of digital transformation. It is proven that culture affects the speed of technology implementation, the degree of their use by employees, the quality of decision-making, the formation of innovative solutions and the ability of the organization to adapt to market changes. The results of the study emphasize the need for a systematic approach to culture formation, which includes diagnosing cultural barriers, developing competencies, improving leadership models, and creating learning mechanisms.

Effective schools are a key indicator of educational success, which is not only determined by academic achievement but also by the quality of overall school management. Along with the decentralization policy in education, School-Based Management (SBM) has become a strategic approach to improving school effectiveness through autonomy, participation, transparency, and accountability. This study aims to comprehensively examine the concept of effective schools in the perspective of SBM, including the characteristics of effective schools, factors influencing school effectiveness, the relationship between effective schools and SBM, as well as the challenges and strategies of its implementation. This research employs a qualitative method with a case study approach. Data were collected through in-depth interviews, observations, and document analysis in several schools in Bogor Regency that have implemented SBM. The results indicate that effective schools in the context of SBM are characterized by strong principal leadership, active participation of the school community and society, professional support for teachers, a positive school culture, and efficient resource management. The main challenges in implementing SBM include budget limitations, resistance to change, and the need for continuous training. With appropriate strategies, SBM is proven to be able to improve school effectiveness in a sustainable manner.

Urban waste management is an environmental issue that directly impacts the comfort and quality of life of the community, particularly in market areas. The Ciputat Market area in South Tangerang City previously experienced significant waste accumulation, which disrupted daily activities and triggered public criticism of the local government. This study aims to analyze the level of community satisfaction regarding urban waste management in the Ciputat Market area. This research employs a quantitative descriptive approach using a survey method involving 100 respondents, comprising market vendors, visitors, local residents, and road users. Data were collected through a five-point Likert scale questionnaire and analyzed using descriptive statistics. The findings reveal that community satisfaction falls within the moderate to low category, with 62.5% of respondents expressing dissatisfaction or being less than satisfied with the waste management. The aspects receiving the lowest evaluations include the consistency of waste transportation and the sustainability of waste management policies. This condition reflects the suboptimal quality of public servis in waste management. Therefore, this study recommends that the state or local government must demonstrate a tangible presence through the reinforcement of strict policies and regulations. Furthermore, the government needs to act as a catalyst in fostering the active participation of citizens and the involvement of the private sector to develop a collaborative and sustainable waste management system.

Purpose Mental health concerns among students in South African universities have grown more severe in recent years, influenced by inequalities in access, institutional cultures and wider socio-economic pressures. Despite this, dominant mental health responses in higher education remain predominantly top-down and often neglect students’ lived experiences and diverse cultural identities. This paper aims to deepen the understanding of how participatory methods can act as transformative approaches for reimagining mental health support in university settings. Design/methodology/approach The study draws on empirical reflections and Participatory Action Research (PAR) conducted at two South African universities. Through narrative interviews, photovoice, social media-based photovoice and engagement with culturally grounded support systems, the research examines how participation functions not merely as consultation but as co-creation of mental health practices. Findings The study concluded that participatory approaches enhance students’ sense of belonging, agency and resilience. Peer-led initiatives and culturally rooted practices, including communal forms of care, proved vital in addressing the limitations of traditional, individualised mental health frameworks. These participatory activities empowered students to articulate contextually relevant strategies and to challenge institutional cultures that inadvertently perpetuate exclusion. Practical implications The results indicate that universities should move beyond individualised, clinical models of mental health support and adopt participatory, culturally grounded approaches that involve students as co-creators of well-being initiatives. Such approaches have implications for institutional policy, student affairs practice and inclusive governance in higher education. Originality/value The paper demonstrates that involving students and other stakeholders in decision-making can shift campus mental health initiatives from a narrow focus on individual treatment towards broader, community-centred well-being. This aligns with national objectives for social justice and transformation in higher education and offers a more inclusive approach to mental health policy and practice.

ABSTRACT The paper explores the gender dimensions of social equity and social equity budgeting (SEB) by investigating women's inclusion in local politics, budgeting and decision‐making in Bangladesh. Quotas for women representatives are reserved at each successive level of local government in Bangladesh, and their active participation in local politics and budgeting is encouraged. The data for the paper were derived from in‐depth interviews with local actors and direct observations, while the findings were analyzed using the four dimensions of social equity. The findings of the study provide insights into the experiences of local community actors with gender quota requirements, the barriers they faced, the enabling strategies and agencies that female politicians have adopted to counter them, and their outcomes. It thus demonstrates how social equity can be achieved through partial empowerment in developing country contexts. In addition, the findings highlight the importance of considering the “intersectional perspective” in the study of SEB in developing country contexts, given that women's access, participation, and outcomes are contingent upon both their individual status and the status of their families within their communities. This suggests the potential relevance of an intersectional interpretation of the results, wherein social status interacts with gender to shape women's lived experiences in different ways. Recognizing the structural dynamics is, therefore, essential to current debates on SEB and how its principles can be meaningfully embedded into local governance.

This study aims to develop a practical and effective game-based learning media to address the lack of teacher creativity in designing digital media, specifically for Javanese language subject on Wayang material at MI Tegalroso Parakan. This Research and Development (R&D) used the ADDIE model (Analysis, Design, Development, Implementation, Evaluation). The research subjects were third-grade students of MI Tegalroso Parakan (n=8). Data collection instruments included needs questionnaires, media and material expert validation sheets, and learning outcome tests (pre-test and post-test). Data were analyzed using descriptive and inferential statistics (Kolmogorov-Smirnov normality test, paired sample t-test, and N-Gain calculation). Expert validation results showed that the TEBANG game media was feasible to use with eligibility percentages of 85% (media expert) and 88% (material expert). The effectiveness test through paired sample t-test showed a significant difference between pre-test (Mean=73.63) and post-test (Mean=85.00) scores with sig. 0.025 (p < 0.05). The N-Gain score of 0.3671 proved the improvement of student learning outcomes in the medium category. This research develops a "Picture Guessing" game genre specifically for Wayang character introduction using the code-free Quick App Ninja platform. This represents a practical and realistic solution for teachers with limited programming competencies, while also functioning as a medium for preserving Javanese culture through an edutainment approach. The TEBANG media provides an innovative, easily accessible (web-based), and easily developed solution for MI/SD teachers. Its implementation is expected to improve learning outcomes, motivation, and active student participation in learning Javanese language and Wayang culture.