Contextual Determinants Research Articles

Exploring the nexus between reattachment to work, presenteeism and organisational resilience of MNEs: a conceptual analysis

PurposeThe purpose of this paper is to explore the different contextual and psychological determinants of organisational resilience (OR) in the context of global mobility in multinational enterprises (MNEs). Banking upon the conservation of resources theory, this paper studies how and when reattachment to work (RTW), work engagement (WE) and two types of presenteeism lead to OR. Further, in the backdrop of the post-pandemic world of work, this paper also conceptualises the conditional effects of trait resilience (TR), organisational support (OS) and expatriation type (ET) on the aforementioned linkages.Design/methodology/approachThis paper develops a conceptual framework that depicts various antecedents of OR in MNEs. Several testable propositions are also offered alongside the model’s moderated mediation and moderated moderation relationships.FindingsThe conceptual framework depicts the causal relationships between RTW and OR, such that Flexible RTW increases OR through higher WE and functional presenteeism under the conditional influences of TR, OS and ET, whereas rigid RTW decreases OR through lower WE and dysfunctional presenteeism under the conditional effects of TR, OS and ET.Originality/valueTo the best of the authors’ knowledge, this paper is the first of its kind that explores the psychological and contextual antecedents of the OR of MNEs and offers numerous testable propositions. The nexus of unique relationships presented in the conceptual framework bridges a crucial gap in the literature that explores the complexities of the post-pandemic workplace in the context of global mobility.

Determinants of poverty among Indigenous people in Mexico's Guerrero Mountain Region

AbstractMotivationThe eradication of poverty is one of Mexico's greatest challenges. This challenge is even greater for Indigenous communities, where seven out of 10 people were living in poverty in 2018. Despite the economic, social, and cultural impacts on Indigenous people, there has been scant literature addressing the determinants of Indigenous poverty in Mexico, while studies on the Guerrero Mountain Region (GMR) are scarcer still.PurposeThis study aims to identify the socioeconomic and contextual determinants of income and multidimensional poverty in the GMR, one of the poorest regions in Mexico and Latin America, inhabited primarily by Indigenous people.Methods and approachWe use data on 989 individuals in the GMR, collected during the 2018 Socioeconomic Conditions Module of Mexico's National Household Income and Expenditure Survey. To examine the main determinants of individual poverty, we use Bayesian logistic regression (BLR), which allows us to use the data to update information about the parameters and evaluate their distributional properties. The method simplifies multi‐causal elements by classifying them into categories of well‐being that incorporate more than economic factors.FindingsThe income‐poor population is also multidimensionally poor. Education helps to reduce poverty as households that spend more on schooling are less likely to be poor. Households with many members, those with high dependency ratios, and those with members living with disability all tend to be poor. Households with access to landlines and the internet are less likely to be poor.Policy implicationsMore diagnosis of poverty is needed. This should consider overlapping vulnerabilities (institutional, socioeconomic, environmental, and sociocultural) in this region for each Indigenous group. Public policies need to be monitored for performance.

Augmentative and Alternative Communication Services During the COVID-19 Pandemic: Contextual Determinants of the Parent-Speech-Language Pathologist Partnership.

The COVID-19 pandemic caused significant changes for family-professional interactions. Many services shifted to telepractice, with new opportunities for parents and speech-language pathologists (SLPs) to partner for service delivery. Parent-coached models of augmentative and alternative communication (AAC) intervention provide positive outcomes for children; however, SLPs have reported difficulty building strong partnerships with families. The shift to telepractice during the COVID-19 pandemic provided a unique context to examine factors influencing parent-SLP partnerships, particularly for parents with children who use aided AAC. Twenty-five parents and 25 SLPs who engaged in services with children and youth from 3 to 21 years of age who used aided AAC during the initial stages of the COVID-19 pandemic in June 2020 participated. Semistructured interviews were conducted individually with parents and SLPs to understand perspectives on whether the change in service delivery facilitated or hindered family-oriented practice. Inductive qualitative analysis was used to analyze information about the factors impacting parent-SLP partnerships. The parent-SLP partnership was influenced by setting and systemic determinants, and intrinsic determinants to the parent and the SLP that included their history and rapport, beliefs about partnering, and knowledge and skills. These determinants served as barriers or facilitators to their partnership. It is essential to consider the relationship, expectations, and knowledge and skills that SLPs and parents bring to the partnership, along with extrinsic structural factors that can impact this partnership. Positive rapport, valued partnership, and an openness to sharing knowledge through teaming and collaboration provided for positive parent-SLP partnerships.

Impact of individual, household, and area characteristics on health and social care outcomes for people with multimorbidity: Protocol for a multilevel analysis.

Multimorbidity is one of the greatest challenges facing health and social care systems globally. It is associated with high rates of health service use, adverse healthcare events, and premature death. Despite its importance, little is known about the effects of contextual determinants such as household and area characteristics on health and care outcomes for people with multimorbidity. This study protocol presents a plan for the examination of associations between individual, household, and area characteristics with important health and social care outcomes. The study will use a cross-section of data from the SAIL Databank on 01 January 2019 and include all people alive and registered with a Welsh GP. The cohort will be stratified according to the presence or absence of multimorbidity, defined as two or more long-term conditions. Multilevel models will be used to examine covariates measured for individuals, households, and areas to account for social processes operating at different levels. The intra-class correlation coefficient will be calculated to determine the strength of association at each level of the hierarchy. Model outcomes will be any emergency department attendance, emergency hospital or care home admission, or mortality, within the study follow-up period. Household and area characteristics might act as protective or risk factors for health and care outcomes for people with multimorbidity, in which case results of the analyses can be used to guide clinical and policy responses for effective targeting of limited resources.

Adolescent volunteering in Poland - contextual and individual determinants.

Studies on volunteering concern mainly the population aged over 16, and the results refer mainly to Western Europe. Adolescent volunteering in Eastern European countries is relatively understudied. The aim of the study was to investigate and discuss the scale of this phenomenon in Poland, the predictors of being a volunteer, and factors which explain how much time adolescents spend volunteering. The study was conducted on a representative group of 3,545 respondents aged 14-15. 26.6% of the surveyed adolescents were involved in volunteering in the 12 months preceding the study. The probability of being a volunteer is explained by contextual factors (higher regional income per capita and higher unemployment rate decrease this probability, whereas it increases by living in a city), family factors (father's work in agriculture and more children in the family), individual factors (higher self-esteem of physical fitness and less helplessness). The amount of time devoted to volunteering is explained by contextual factors (the higher the income from agriculture), family factors (mother's work in agriculture; mother's lower level of education), individual factors (greater self-efficacy, lower feeling of helplessness). Volunteering undertaken because of a passion for volunteering is associated with longer volunteering time, while undertaken because of the desire to be liked and respected - with shorter volunteering time. The results are of practical importance, as they show the possibility to promote adolescents' volunteering.

Constructing Residential Histories in a General Population-Based Representative Sample.

Research on neighborhoods and health typically measures neighborhood context at a single point in time. However, neighborhood exposures accumulate over the life course, influenced by both residential mobility and neighborhood change, with potential implications for estimating the impact of neighborhoods on health. Commercial databases offer fine-grained longitudinal residential address data that can enrich life-course spatial epidemiology research, and validated methods for reconstructing residential histories from these databases are needed. Our study draws on unique data from a geographically diverse, population-based representative sample of adult Wisconsin residents and the LexisNexis (New York, New York) Accurint, a commercial personal profile database, to develop a systematic and reliable methodology for constructing individual residential histories. Our analysis demonstrated that creating residential histories across diverse geographical contexts is feasible, and it highlights differences in the information obtained from available residential histories by age, education, race/ethnicity, and rural/urban/suburban residency. Researchers should consider potential address data availability and information biases favoring socioeconomically advantaged individuals and their implications for studying health inequalities. Despite these limitations, LexisNexis data can generate varied residential exposure metrics and be linked to contextual data to enrich research into the contextual determinants of health at varied geographic scales.

Implementing contingency management for stimulant use in opioid treatment programs: protocol of a type III hybrid effectiveness-stepped-wedge trial

BackgroundContingency management (CM) is an evidence-based intervention for stimulant use and is highly effective in combination with medication for opioid use disorder. Yet, uptake of CM in opioid treatment programs that provide medication for opioid use disorder remains low. This paradox in which CM is one of the most effective interventions, yet one of the least available, represents one of the greatest research-to-practice gaps in the addiction health services field. Multi-level implementation strategies are needed to address barriers to CM implementation at both the provider- and organization-level. This type III hybrid effectiveness-implementation trial was funded by the National Institute on Drug Abuse to evaluate whether a multi-level implementation strategy, the Science of Service Laboratory (SSL), can effectively promote CM implementation in opioid treatment programs. Specific aims will test the effectiveness of the SSL on implementation outcomes (primary aim) and patient outcomes (secondary aim), as well as test putative mediators of implementation outcomes (exploratory aim).MethodsUtilizing a fully powered type III hybrid effectiveness-implementation trial with a stepped wedge design, we propose to randomize a cohort of 10 opioid treatment programs to receive the SSL across four steps. Each step, an additional 2–3 opioid treatment programs will receive the SSL implementation strategy, which has three core components: didactic training, performance feedback, and external facilitation. At six intervals, each of the 10 opioid treatment programs will provide de-identified electronic medical record data from all available patient charts on CM delivery and patient outcomes. Staff from each opioid treatment program will provide feedback on contextual determinants influencing implementation at three timepoints.DiscussionBetween planning of this protocol and receipt of funding, the landscape for CM in the USA changed dramatically, with multiple Departments of Health launching state-wide CM initiatives. We therefore accelerated the protocol timeline and offered some cursory training resources to all sites as a preparation activity. We also began partnering with multiple Departments of Health to evaluate their rollout of CM using the measures outlined in this protocol.Trial registrationThis study protocol is registered via ClinicalTrials.gov Identifier: NCT05702021. Date of registration: January 27, 2023.

Tending to the Emotional Experience of Cyber-Victimized Youth: How Teachers Can Support Victims of Severe Cyberbullying Incidents

Cyberbullying negatively impacts the social-emotional development of youth and can interfere with school engagement and academic functioning. However, little is known about how teachers can support cyber-victims. This study aims to examine the specific support strategies that predict emotional relief from severe cyber-victimization. This study also identifies demographic and contextual determinants that further facilitate emotional relief when teacher support is provided. Using a within-subjects design, participants aged 12-to-17 years old rated the intensity of their emotions after being presented with vignettes about hypothetical cyberbullying scenarios. The study found that each type of teacher support predicted emotional relief in comparison to no support for each form of severe cyberbullying, but the amount of emotional relief varied across support types, demographic factors, and contextual factors. These findings have implications for early prevention methods for teachers of victimized youth.

Contextual determinants of re-reporting for families receiving alternative response: A survival analysis in a Midwestern State

Differential response (DR) has been widely adopted in over 30 states to address shortcomings of the traditional approach to child maltreatment reports in complex family and case circumstances. However, despite continued evaluation efforts, evidence of the effectiveness of DR remains inconclusive. The current study aims to assess the impact of a DR program and potential predictors, including service match and number of family case workers, on maltreatment re-reports in a Midwestern state. The study utilized a randomized control trial and assigned eligible families to either the Alternative Response (AR) track or Traditional Response (TR) track. The enrollment was implemented in a phased rollout covering all counties in the state. Data were drawn from state child welfare administrative datasets and case worker surveys. The probability and time to re-reporting was calculated using survival analysis, while adjusting for case-level covariates. Prior ongoing case (HR = 3.24, p < 0.001), high risk level (HR = 1.43, p < 0.05), and having only one worker (HR = 1.92, p < 0.001) serve the case were strong predictors of re-reporting. The effect of service match within each level of prior ongoing case (No, Yes) was also a significant predictor of re-reporting (p < 0.05). AR had limited, but nonsignificant, impact on preventing re-reporting after adjusting for these factors, as there was no difference in terms of re-reporting between DR tracks. However, findings suggest that matching child welfare service with family needs is an important component of child welfare practice. Implications for DR policy and practice are discussed.

Political Thought in Bosnia and Herzegovina Between the Two World Wars: Primary Determinants, Contextual Experiences, and Thematic Orientations

Political thought between the two world wars in Bosnia and Herzegovina was marked by substantive educational activity and production with pan-political characteristics. For this reason, it is important to investigate to what extent the thematic focus of Bosnian political thought at that time corresponds to the most significant contextual events in the domestic and extra-national spheres of politics. The theoretical approach that indicates that political activity, behavior, and thinking are determined by challenging contextual determinants represents one of the classic and fundamental research models in political science. Nevertheless, the achieved level of political awareness, the development of political culture, and the established system of government in a specified state context can significantly influence the thematic range of political opinion as well as the participation of citizens in the political process. Therefore, it is necessary to take into account the mentioned contextual and variable determinants in the analysis of the thematic orientation of Bosnian political thought in the period between the two world wars. The dominant narratives and thematic preoccupations in Bosnian political thought at the time will be identified and detected, after the research is conducted, and their compatibility with the key political challenges will be examined.

Association between the Nurses` Productivity and Quality of Work Life in Covid-19 Referral Hospital: Evidence from Iran

Introduction: Nurses' productivity is assumed as a determinant factor affecting patients` health promotion. The productivity of the nurses can be influenced by many factors. Objectives: This study aims to determine the association between the nurses` productivity and their quality of work life (QWL) in the south of Iran. Methods &amp; Materials: This was a cross-sectional study conducted in 2021. 312 nurses by census were included. A researcher-made questionnaire was used to collect the data. Data were analysed by descriptive and analytical statistics, including Independent T-test, ANOVA, Pearson correlation, and multiple linear regression applying SPSS23 at the significant level of 0.05. Results: According to the results, the mean score of productivity and QWL were 89.32±9.24 out of 125 and 91.63±7.01 out of 160, respectively. There was a positive significant statistical correlation between the nurses` productivity and QWL (r=0.621, p&lt;0.0001). Based on the results of linear regression, the following dimensions of QWL were identified as the predictor of nurses` productivity respectively: problem-solving, willingness and motivation to work, engagement in decision making (p&lt;0.0001), employment promotion, communication, job security (p=0.001), salary and payments, and employment proud and honour (p=0.002). Conclusion: As the present results show, the studied nurses` productivity was evaluated at a good level. There was a positive correlation between the nurses` productivity and QWL and the dimensions of QWL were identified as the predictors of productivity. Planning for improvement and promotion of each of these dimensions according to the contextual determinants are recommended to improve the nurses` productivity to an excellent level.

Social and contextual determinants of heat pump adoption in the US: Implications for subsidy policy design

Building electrification with heat pumps (HPs) is an important pillar of decarbonization. The US Inflation Reduction Act (IRA) of 2022 provides unprecedented cash incentives to households. However, little is understood of peoples’ preferences or constraints, and hence of the efficacy of these incentives. We develop a residential heating appliance choice model that identifies socio-demographic, contextual and economic determinants of adoption using structural estimation methods with data from the American Housing Survey (AHS). We find that households in warmer, urban areas, with younger heads of household, in larger homes, and with better insulation are more likely to adopt HPs. Using New York state as a case, we predict willingness to pay (WTP) for and adopt HPs under the IRA incentives. We estimate that half of New York households would be willing to adopt HPs by 2030, setting aside other market barriers that could prevent actual adoption. The total subsides would amount to almost four times the IRA’s initial allocation of 9 billion for home improvement for the entire US. The subsidy cost of replacing 70 percent of the heating appliance stock by 2030 could be a third higher. However, this cost could be reduced by 15 percent if subsidies were weighted more towards higher income households, implying a modest trade-off between equity and cost efficiency. These findings underscore the importance of better understanding the heterogeneous home and household conditions that influence HP adoption. Funding for building electrification would have to be increased substantially to achieve high adoption rates.

The Supervisor of Undergraduate Dissertations in a Web-Based Context: How Much Support and How to Give it?

The provision of support has always been central to the role of the undergraduate dissertation (UD) supervisor, but little research has been done on its contextual determinants in web-facilitated contexts. Beyond the general recognition of the importance of institutional support for the development of supervisors’ technological and pedagogical knowledge and the importance of technology and pedagogy in maximizing the impact of supervisors’ support for students, the effect of technology tools and students’ prior skills on the type and level of supervisors’ support is not well understood. Drawing partially on the Technological Pedagogical and Content Knowledge (TPACK) framework, the present work uses Partial-Least Square Structural Equation Modelling to examine the effect of supervisors’ Technological Pedagogical Knowledge (TPK), their perception of students’ soft skills, and the technology tools they use (face-to-face, social media or a learning management system) on the level of educational and motivational support they provide. The results indicate that institutional support to UD supervisors positively affects their TPK, which in turn positively affects their educational and motivational support to students. However, supervisors’ educational and motivational support is inversely related to their perception of students’ soft skills and is also affected by the technological tools used. In short, supervision styles are not static since different contextual factors affect the management of the process of supervision. The implications for UD supervision are discussed, and some recommendations are proposed in the article.

Eliciting and prioritising determinants of improved care in multimorbidity: A modified online Delphi study.

Multimorbidity is a major challenge to health and social care systems around the world. There is limited research exploring the wider contextual determinants that are important to improving care for this cohort. In this study, we aimed to elicit and prioritise determinants of improved care in people with multiple conditions. A three-round online Delphi study was conducted in England with health and social care professionals, data scientists, researchers, people living with multimorbidity and their carers. Our findings suggest a care system which is still predominantly single condition focused. 'Person-centred and holistic care' and 'coordinated and joined up care', were highly rated determinants in relation to improved care for multimorbidity. We further identified a range of non-medical determinants that are important to providing holistic care for this cohort. Further progress towards a holistic and patient-centred model is needed to ensure that care more effectively addresses the complex range of medical and non-medical needs of people living with multimorbidity. This requires a move from a single condition focused biomedical model to a person-based biopsychosocial approach, which has yet to be achieved.

Collusion Revisited: Polyadic Collusions and Their Contextual Determinants

At the core of collusions are unconscious unresolved issues shared by two or more participants, interlocked in a defensive maneuver. The issue at stake is avoided at an intrapsychic level and externalized in the interpersonal space. Unresolved issues may pertain to control, intimacy, loss, dependency, domination, boundaries and so on.This critical narrative review is based on a comprehensive consultation of the psychoanalytic, general system theory, family therapy and social psychology literature and is informed by our experience as psychotherapists, supervisors, and researchers. When working with the concept of collusion, be it as a clinician, supervisor or researcher, collusions must be delineated from other group dynamics. This might not always be easy. Moreover, reports on polyadic collusions and their contextual determinants are scattered in the literature of different psychotherapeutic approaches and lack precision at times. We therefore engage in a critical dialog with the literature and define different types of polyadic collusions, helping the reader gain a quick overview of this somehow neglected concept. Collusions occur in the psychiatric, psychotherapeutic, and medical setting, but especially in settings which ignore the unconscious and the impact of the wider social determinants on collusions.Collusion is a very useful concept since it brings together different therapeutic orientations but also patients and clinicians, the personal and professional of the caregiver, as well as psychotherapy, psychiatry, medicine, and the social sciences.

Determinants of household safe drinking water practices in Kabul, Afghanistan: New insights from behavioural survey data

More than 2 billion people worldwide lack access to safe drinking water. Household water treatment (HWT) is an interim option for reducing the risk of water born disease. Understanding the factors that influence HWT behaviour is crucial for delivering successful interventions aimed at scaling relevant technologies, but the literature tends to emphasise psychological determinants with little consideration of socioeconomic and contextual factors. This article responds to this literature by using the COM-B model to examine the determinants of HWT practices through a comprehensive and context-sensitive behaviour definition. We informed this model through a cross-sectional survey design in which we collected data from 913 households in two peri‑urban neighbourhoods of Kabul, Afghanistan. Our findings from descriptive statistical and regression analysis highlight the importance of not only psychological but also socio-economic and contextual determinants of HWT behaviour: Especially the COM-B dimensions of reflective and automatic motivation, and physical opportunity – which are heavily influenced by local context and economic circumstances – had statistically significant associations with performing HWT. The practical significance of these dimensions was similarly pronounced. For example, an increase in the physical opportunity index by 0.1 units from an average value of 0.7 to 0.8 would be associated with a 7.7 percentage-point higher likelihood of HWT performance. These results suggest that the COM-B model can be utilised to systematically design interventions aimed at promoting HWT practices, while highlighting the need to broaden behavioural analyses of HWT and consider contextual factors to develop interventions that are tailored to the specific needs and obstacles of different communities.

Applying the Consolidated Framework for Implementation Research to Optimize Implementation Strategies for the Friendship Bench Psychological Intervention in Zimbabwe

Scaling up an evidence-based mental health program such as the Friendship Bench (FB) Zimbabwe bares many difficulties. Guided by the Consolidated Framework for Implementation Research (CFIR), this study sought to understand the contextual determinants of FB performance and to identify and match novel implementation strategies to optimally overcome barriers. The CFIR was applied to guide twenty-five focus group discussions with n = 152 stakeholders in nine high- and four low-performing clinics across three cities in Zimbabwe to identify the constructs distinguishing clinic performance. Identified implementation barriers were included in the CFIR-Expert Recommendation for Implementation Change (ERIC) matching tool to inform strategies to optimize future FB implementation outcomes. Constructs peer pressure, goals and feedback, learning climate, planning, formally appointed leaders, and external change agents strongly distinguished between high- and low-performing clinics. Barriers to implementation were intervention complexity and organizational incentives and rewards; intervention-related constructs were identified as enablers. Strategies such as identifying and preparing champions, altering incentive structures, developing a formal implementation blueprint, and organizing regular clinician meetings were chosen to address barriers and optimize FB implementation. There was variability in the implementation performance of FB three years post-scale-up. High-performing clinics appear to be influenced positively by peer pressure, goal setting and feedback, better staff communication and integration of the program, overall learning climate, and clinic-level planning. A set of enhanced FB implementation strategies should be applied to improve implementation performance.

Study protocol for a multi-level cross-sectional study on the equitable reach and implementation of coordinated specialty care for early psychosis

BackgroundApproximately 115,000 young adults will experience their first episode of psychosis (FEP) each year in the USA. Coordinated specialty care (CSC) for early psychosis is an evidence-based early intervention model that has demonstrated effectiveness by improving quality of life and reducing psychiatric symptoms for many individuals. Over the last decade, there has significant increase in the implementation of CSC programs throughout the USA. However, prior research has revealed difficulties among individuals and their family members accessing CSC. Research has also shown that CSC programs often report the limited reach of their program to underserved populations and communities (e.g., ethnoracial minorities, rural and low socioeconomic neighborhoods). Dissemination and implementation research focused on the equitable reach and implementation of CSC is needed to address disparities at the individual level.MethodsThe proposed study will create a novel integrative multi-level geospatial database of CSC programs implemented throughout the USA that will include program-level data (e.g., geocoded location, capacity, setting, role availability), provider-level data (race, ethnicity, professional credentials), and neighborhood-level census data (e.g., residential segregation, ethnic density, area deprivation, rural-urban continua, public transit time). This database will be used to characterize variations in CSC programs by geographical location and examine the overall reach CSC programs to specific communities. The quantitative data will be combined with qualitative data from state administrators, providers, and service users that will inform the development of dissemination tools, such as an interactive dashboard, that can aid decision making.DiscussionFindings from this study will highlight the impact of outer contextual determinants on implementation and reach of mental health services, and will serve to inform the future implementation of CSC programs with a primary focus on equity.

Fatigue in patients with rheumatic and musculoskeletal diseases: a scoping review on definitions, measurement instruments, determinants, consequences and interventions

ObjectivesTo scope published reviews addressing fatigue in rheumatoid arthritis (RA), spondyloarthritis, osteoarthritis and fibromyalgia in areas relevant for clinical practice: (1) definition, (2) measurement instruments and diagnosis, (3) determinants, (4)...

Subjective and contextual determinants of engagement in actions beyond basic professional duties

Subjective and contextual determinants of engagement in actions beyond basic professional duties