Future Users Research Articles

Protocol for a co-design study for the development of a chronotherapeutic mobile health behaviour change intervention targeting light exposure among older adults

Through its wide-ranging effects on human physiology and behaviour, daily light exposure is an important environmental modulator of healthy ageing. Integrating mobile health (mHealth) technology with behaviour change strategies offers a promising approach to optimise light exposure and positively impact sleep, rest-wake cycles, cognitive function, and mood at scale. This study aims to develop the LightSPAN mHealth behaviour change intervention to optimise light exposure across the lifespan. Employing a co-design methodology, the study comprises two distinct workstreams. The first focuses on conceptualising the theoretical framework and implementation strategies through a comprehensive review of light exposure interventions, behaviour change theories, mHealth user personas, and recommendations for designing mHealth interventions for older adults. The second workstream centres on co-designing the intervention, involving consultation with community service providers and engagement with older adults at ageing community centres (≥60 years of age). Community service providers will be consulted through open-ended discussions (target n=5). Older adult participants (n=20) will engage in telephone interviews, focus group discussions and prototyping workshops to explore older adult participants’ characteristics, needs, preferences, and mHealth intervention design elements and co-design the LightSPAN mHealth behaviour change intervention. The insights generated in these co-design components will ensure that the intervention addresses the needs of its future users.

Limitations of soil-applied non-microbial and microbial biostimulants in enhancing soil P turnover and recycled P fertilizer utilization - a study with and without plants

IntroductionPhosphorus recovery from waste streams is a global concern due to open nutrient cycles. However, the reliability and efficiency of recycled P fertilizers are often low. Biostimulants (BS), as a potential enhancer of P availability in soil, could help to overcome current barriers using recycled P fertilizers. For this, a deeper understanding of the influence of BSs on soil P turnover and the interaction of BSs with plants is needed. MethodsWe conducted an incubation and a pot trial with maize in which we testednon-microbial (humic acids and plant extracts) and microbial BSs (microbial consortia) in combination with two recycled fertilizers for their impact on soil P turnover, plant available P, and plant growth.Results and discussionBSs could not stimulate P turnover processes (phosphatase activity, microbial biomass P) and had a minor impact on calcium acetate-lactate extractable P (CAL-P) in the incubation trial. Even though stimulation of microbial P turnover by the microbial consortium and humic acids in combination with the sewage sludge ash could be identified in the plant trial with maize, this was not reflected in the plant performance and soil P turnover processes. Concerning the recycled P fertilizers, the CAL-P content in soil was not a reliable predictor of plant performance with both products resulting in competitive plant growth and P uptake. While this study questions the reliability of BSs, it also highlights the necessity toimprove our understanding and distinguish the mechanisms of P mobilization in soil and the stimulation of plant P acquisition to optimize future usage.

Archaeocytes in sponges: simple cells of complicated fate.

Archaeocytes are considered a key cell type in sponges (Porifera). They are believed to be multifunctional cells performing various functions, from nutrient digestion to acting as adult stem cells (ASCs). Thus, archaeocytes are mentioned in discussions on various aspects of sponge biology. As presumed ASCs of an early-diverged animal taxon, archaeocytes are of great fundamental interest for further progress in understanding tissue functioning in metazoans. However, the term 'archaeocyte' is rather ambiguous in its usage and understanding, and debates surrounding archaeocytes have persisted for over a century, reflecting the ongoing complexity of understanding their nature. This article presents a comprehensive revision of the archaeocyte concept, including both its historical development and biological features (i.e. taxonomic distribution, characteristics, and functions). The term 'archaeocyte' and its central aspects were introduced as early as the end of the 19th century based on data mainly from demosponges. Remarkably, despite the general lack of comparative and non-histological data, these early studies already regarded archaeocytes as the ASCs of sponges. These early views were readily inherited by subsequent studies, often without proper verification, shaping views on many aspects of sponge biology for more than a century. Taking into account all available data, we propose considering the archaeocytes as a cell type specific to the class Demospongiae. Clear homologues of archaeocytes are absent in other sponge classes. In demosponges, the term 'archaeocytes' refers to mesohyl cells that have an amoeboid shape, nucleolated nuclei, and non-specific inclusions in the cytoplasm. The absence of specific traits makes the archaeocytes a loosely defined and probably heterogeneous cell population, rendering the exhaustive characterisation of the 'true' archaeocyte population impossible. At the same time, the molecular characterisation of archaeocytes is only beginning to develop. Stemness and almost unlimited potency have always been at the core of the traditional archaeocyte concept. However, currently, the most consistent data on archaeocyte stem cell function come only from developing gemmules of freshwater sponges. For tissues of adult demosponges, the data favour a two-component stem cell system, in which archaeocytes may cooperate with another stem cell population, choanocytes. Simultaneously, cells with archaeocyte morphology function as macrophages in demosponges, participating in the food digestion cycle and immune defence. Such cells should be denoted with the more neutral term 'nucleolar amoebocytes', as the term 'archaeocyte' not only describes the morphology of a cell but also introduces the proposition of its stem nature. Thus, the future usage of the term 'archaeocyte' should be limited to cases where a cell is shown or at least presumed to be a stem cell.

Optimizing Group Size using Percentile Based Group Acceptance Sampling Plans with Application

The present paper focuses on optimizing the sample size and the acceptance number which are commonly known as design parameters for the group acceptance sampling plan (GASP). Design parameters are analyzed under the assumption that the characteristic of interest for the product follows Another Generalized Transmuted-Exponential (AGTransmuted-Exponential) distribution. Using different values of the quality levels (median lifetime), the values of the Operating Characteristic function is determined. The proposed plan satisfies two types of risks based on producer's point of view and consumer’s point of view at varied stipulated quality levels. Optimization of the sample size, group size and acceptance numbers is obtained through Monte Carlo simulation, for which relevant R codes were developed. Specific R codes are appended for future usage by academia and practitioners from various fields of life. The simulated results of the study are exhibited in the form of tables and explained with relevant examples. Results of the proposed GASP are compared with plan parameters obtained using MLE estimates of AGTransmuted-Exponential distribution and also by design parameters obtained using mean as quality level. Results of the study exhibited that Median as a quality parameter resulted in the decrease of group size and acceptance number simultaneously at all quality levels. Easy to follow the methodology of the current paper will open new vistas for applying the proposed GASP to a family of transmuted probability distributions. For illustration purposes, a real data set for fatigue fracture stress is analyzed using MLE estimates of AGTransmuted-Exponential distribution to demonstrate the implementation of the proposed sampling plan.

Sequenced co-design with stakeholder communities to support the development of spaces for mental health recovery and healing

This research reports on a sequenced co-design process to engage lived experience consumers, carers, healthcare professionals, sector advocates and government representatives in co-designing spatial and experiential inputs to a residential eating disorders facility. The stakeholder community was enabled to co-design a model of care and, building on this, shape the functional brief for the design of health spaces. The stakeholder community input provided architects and designers with a more expansive understanding of user needs regarding specific architectural qualities including psychological safety, flexibility, social connection, and sensory experiences. Our approach yields insights across three interlinked areas: capacity building in the stakeholder community to develop the design language to contribute to design discussions; co-design processes to question pre-existing design assumptions; and subsequently, the development of a more nuanced brief for health spaces. The research supports designers, architects, health organizations and health planners to meaningfully engage with future users of complex healthcare environments.

Association of moderate-to-vigorous physical activity with reduction of acute exacerbation in COPD patients using a dual ultra-long-acting bronchodilators

Inhaler therapy and physical activity (PA) are important methods of chronic obstructive pulmonary disease (COPD) management. This study aimed to investigate the additional benefit of moderate-to-vigorous PA (MVPA) in patients with COPD using a long-acting beta-agonists (LABA)/long-acting muscarinic antagonist (LAMA) combination. We emulated a target trial to estimate the benefit of MVPA in patients with COPD using a dual ultra-long-acting bronchodilators. We enrolled patients aged ≥ 40 who were diagnosed with COPD between 2014 and 2018, initiated a LABA/LAMA combination, and had not undergone regular MVPA. The main exposure was the initiation of MVPA, defined as vigorous aerobic exercise > 20 min per day on ≥ 3 days/week or moderate aerobic exercise > 30 min per day on ≥ 5 days/week. The main outcomes were the future usage of inhaled corticosteroids (ICS) and severe exacerbation. We identified 1,526 patients who initiated MVPA and 4,516 who did not. The median follow-up period was 3.0 years. The hazard ratio (HR) for future ICS usage in the MVPA initiation group was 0.83 (95% confidence intervals (CI): 0.72, 0.97) compared to the control group. The HR for severe exacerbation in the MVPA initiation group was 0.81 (95% CI: 0.68, 0.96) compared to the control group. Subgroup analyses by age, sex, body mass index, residence area, smoking and drinking status showed consistent benefits in these outcomes. Initiation of MVPA may offer an additional benefit for even COPD patients who use a dual ultra-long-acting bronchodilators.

Nurses' experiences and teaching suggestions regarding electronic patient record systems: qualitative method study

AimThe study was conducted to determine nurses' experiences with electronic patient record systems and their suggestions for incorporating them into undergraduate nursing education. BackgroundThe integration of computers into healthcare represents one of the most significant developments of the 21st century. Understanding nursing professionals' experiences with electronic patient record systems and the innovations they seek in teaching can provide effective methods for training future users. DesignQualitative, cross-sectional, interpretive phenomenological design. MethodsThe study was conducted with 12 nurses. Data were collected through face-to-face interviews using semi-structured interview questions and analysed using content analysis. ResultsNurses' experiences were categorised into two main themes: using and teaching the Electronic Patient Record System. Participants reported difficulties related to inadequate physical infrastructure and software issues in the clinical setting. On the other hand, nurses acknowledged that electronic patient record systems enabled them to collect accurate, complete and traceable data, improved the quality of care and saved time for care. It was identified that nurses required training on these systems during their undergraduate education, especially learning from their colleagues. Participants suggested that teaching should involve the development of demo software. ConclusionsUsing electronic recording systems in hospitals enhances care management and facilitates documentation. Nurses recommend that students and practising nurses receive theoretical and practical training to adapt effectively to hospital systems. The development of demo software was proposed as a valuable educational tool.

Engaging practitioners in developing a guide for citizen participation in community health promotion

Abstract Background Community health promotion aims to improve the living conditions in municipalities, cities, or regions to support health maintenance or promotion. Participation is a fundamental element in health promotion, as it enables community members to engage in decision-making, program development, and tailored health initiatives. This project focused on crafting a practical guide for citizen participation in community health promotion, involving experts and future users. Methods We conducted a literature review to identify existing guidelines and materials pertinent to community health promotion, with a focus on practical guidance for municipal practitioners. To delve deeper into the topic, we conducted interviews with 6 experts in the field of participation and community health promotion as well as with 6 practitioners working in “healthy municipalities” in Lower Austria. The guide was developed collaboratively, with two workshops being held to gather input on the draft concept of the guide and to prioritize topics. Moreover, experts and practitioners were involved to provide feedback on the drafted guidance document. Results Discrepancies emerged between theoretical concepts and real-life implementation of community participation. While the literature delineates up to 12 participation levels, practitioners identified three: contributing ideas, advising and co-deciding, and actively participating in planning and implementation. Informing the target group was conceptualized as a preliminary stage and basic requirement for citizen participation. Above all, practitioners sought low-key suggestions and short descriptions of methods that they could use directly in their everyday context. Conclusions Involving practitioners and potential users enhanced the accessibility and utility of the guide. Their input ensured that the guide remained practical, relevant and informative without excessive academic or theoretical abstraction. Key messages • Involving health promotion practitioners helped shaping the practical guide in a way to be most useful for the intended audience. • Experts and practitioners have different views regarding the theoretical distinctions of levels of participation in community health promotion.

Driving innovation in primary healthcare though co-creation with stakeholders in Switzerland

Abstract Issue/problem Primary healthcare systems worldwide face challenges such as socio-demographic shifts, increasing chronic diseases, rising costs, and workforce shortages, demanding innovative solutions for the future of primary care. Description of the problem Addressing the complex challenges of creating a resilient primary healthcare model involves considering interdependent factors such as health policies, funding, workforce training, technology, and evolving diseases, alongside diverse stakeholder interests. To tackle this, the ‘Health2040: Co-creation of a Future Outpatient Primary Healthcare Model in Switzerland’ project was launched in 2023 to develop a forward-looking model by integrating insights from various stakeholders. Results The project involved 40 stakeholders, including patients, researchers, healthcare professionals, policy-makers, and insurers, in two full-day workshops aimed at co-creating a vision and actionable framework for Switzerland’s future primary care. The first workshop focused on developing and visualizing potential models, while the second targeted the transition to these new models and the creation of an implementation plan. These sessions were underpinned by a comprehensive literature review on emerging primary care models, providing a scientific foundation for the discussions. Lessons Successful co-creation requires significant preparatory efforts and innovative creativity techniques, such as Future Newspapers, brainstorming, games, and user personas. Engaging stakeholders throughout various stages of the project helped to enhance relevance. Feedback from a steering group on the workshop’s concept, methodologies, and evidence synthesis was instrumental. Healthcare practitioners also contributed their insights on patient personas, ensuring the models developed were pertinent to actual healthcare practices. Stakeholder engagement process was essential for fostering innovative ideas and ensuring stakeholder buy-in for the developed solutions. Key messages • Co-creation with stakeholders is a promising way to develop innovative solutions for health systems. • Integrating stakeholder input is crucial at all the project stages, from preparation to evaluation.

A tale of two patients – How did the pandemic impact patients’ usage of health portals

Objective: The study examines whether patient health portal usage significantly increased during the COVID-19 pandemic between 2019 and 2022.Methods: In order to measure patient usage of patient portals before and during the first year of the COVID-19 pandemic, this study used the Health Information National Trends Survey results for 2019, 2020, 2021, and 2022. It was compared, using a least square regression model, to see if there was a significant relationship between increased use of telehealth, the usage of health portals, and the number of times seen by a regular healthcare provider.Results: The number of patients who saw their health care provider thrice a year and used their patient portal pre- and postpandemic increased. However, the overall increase in patients using their portals before and during the first two years of the pandemic remains below 50%.Conclusions: Overall, the pandemic increased patients’ use of telemedicine but only significantly increased their usage of patient portals for those patients who saw their provider three or more times a year. These findings indicate that more interaction with providers might impact future portal usage.

20 years review of the multi actor multi criteria analysis (MAMCA) framework: a proposition of a systematic guideline

AbstractMulti-criteria Decision Making (MCDM) involves evaluating alternatives based on a comprehensive set of conflicting criteria, often requiring the involvement of varied decision makers. This has led to the emergence of stakeholder-based multi-criteria group decision-making (MCGDM) frameworks. However, traditional MCGDM frequently overlooks the interactions and trade-offs among different actors and criteria. The Multi-actor Multi-criteria Analysis (MAMCA), developed in 2000, provides a transparent decision-making process explicitly considering these interrelationships. It allows diverse stakeholder groups to represent their priorities, thereby enhancing their understanding of their own and others’ positions. Over the past two decades, MAMCA has seen a significant rise in popularity and has been widely applied in diverse contexts, proving valuable as both a decision-making and stakeholder engagement tool. However, our analysis of publications on cases in which MAMCA was applied over the years shows that considerable variation exists in the overall process approach, contingent upon the specific goals and context. To address these variations, this paper proposes a modularized MAMCA structure, complemented by systematic application guidelines, to aid future users in navigating the process steps and identifying the most suitable methods for each step. Additionally, future research directions are suggested for potential enhancements to the MAMCA framework by integrating varied methodologies.

How to catch prospective use? A comparative study of virtual environment movie and guided imaginary for projecting future users in a public space

Focusing on the design of a public space, we propose a methodological contribution to integrate possible future users to studies in prospective ergonomics. Our objective is to establish a rigorous protocol for comparing two methods of projecting potential usage. First, a projection interview based on a virtual environment movie and second, a Guided Imaginary Projection interview. We sought to determine to what extent these two methods provide participants with the ability to live a ‘quasi-experience’ of the space. This ‘quasi-experience’ is measured by a questionnaire inspired by the concepts of presence and absorption and by the analysis of the embodiment level of the discourse produced during the interviews, from embodied to general discourse. The results show that while the two methods produce similar results in terms of the level of projection experience, the virtual environment movie projection produces significantly more general discourse.

The impact of Covid-19 on recovery after sexual violence and abuse: Voices of help-seeking survivors and those individuals working within specialist support services in England

We examined the impact of Covid-19 on service delivery within specialist sexual violence services and the healing journeys of survivors of sexual violence and abuse through the experiences of 22 professionals and 221 service users in England. The pandemic posed challenges across all sectors and economies across the globe, but practices and innovations that emerged at that time could enhance future services and user experiences. Thematic analysis was used to identify key themes within the data. Overall, the negative impacts of Covid-19 outweighed the positive changes: survivors reported increased feelings of depression, anxiety, and worry, exacerbated by isolation and lost connections with friends and family, and access to strategies for managing their mental health. Difficulties/delays in accessing support, service provision, and disruptions to rapport, trust, and safety were widespread in participants’ reports. Conversely, for some, requirements to remain at home provided safety from the world, and space for healing, and even prompted survivors of non-recent abuse to seek help. Remote service delivery was beneficial where clients could be ‘at a distance’ in discussing sensitive issues. Together with insights from professionals about their own isolation, blurred boundaries, and concerns regarding client confidentiality and engagement, this research highlights an agile sector responding to an unprecedented situation. Moving forward, survivors’ preferences for flexible/remote support must be integrated into everyday delivery.

How to create a national sport strategy

Purpose: Due to its numerous positive effects on individuals and society as a whole, sport has become an important socio-economic subsystem of the national environment. To regulate, develop, and monitor the impact of sport at national, regional, and local levels, countries often develop and adopt various strategic documents, which can be found under the name of national program or strategy for sport development at the national level. Due to the importance of understanding the substantial comprehensiveness of national sports strategies (NSS) and the precision of the methodological-processual approach, the purpose of the present paper is to present a methodological and substantive view of the process of creating NSS and to develop a comprehensive concept (model) that appropriately places the substantive part in the phases of the process. Method: The methodology of writing conceptual research papers was used. This approach provides a bridge or link between different concepts and scientific disciplines. The methodological approach was the “model paper” which aims to provide a theoretical framework that predicts relationships between concepts. A model paper identifies connections between constructs and introduces new constructs. Findings: The development of the substantive model for the preparation of the NSS revealed that the comprehensive sport system at the national level can be understood within the framework of five substructures (financial, organizational, developmental, material, and program) that contribute significantly to the development and implementation of activities related to sport and physical activity. They are interconnected and interdependent and are surrounded by a so-called integrity framework that protects the sport system from the deviations of modern society. The methodological process model reveals that for the implementation of the process of NSS preparation, the most appropriate is the strategic management methodology, which enables accurate and efficient management of planning, organization, implementation, and control of the NSS. The combination of both perspectives (substantive and methodological) enables the development of a comprehensive concept (model) of NSS preparation. Conclusions: The developed concept (model) of the NSS preparation comprehensively covers the issue of the NSS preparation management and is dialectical, open, flexible, and repeatable, enabling future users to manage the NSS preparation in a substantive-holistic and process-effective manner.

U-Space Social and Environmental Performance Indicators

The social potential of Urban Air Mobility (UAM) as a greener and faster transportation system in and around urban environments is indisputable. Nevertheless, the success of UAM introduction and its wide use will strongly depend on acceptance by the citizens and future UAM users. The impact on overall quality of life, as a multidimensional concept that encompasses physical health, mental and emotional well-being, economic status, education, and the environment, is becoming a significant issue. This paper aims to describe the performance framework for the assessment of the social and environmental impact of UAM. The specific objectives are to identify the full range of UAM’s impacts on citizens’ quality of life and to propose a set of indicators that enables the quantification and assessment of the identified impacts. Firstly, the main issues (focus areas) were identified, namely, noise, visual pollution, and privacy concerns, followed by access and equity, economic aspect, emissions, public safety, and impact on wildlife. In the next step, for each identified focus area, performance indicators were defined along with the several cross-cutting areas for a geographical, temporal, demographic, socioeconomic, and behavioral resolution. The proposed performance framework could enable more efficient mitigation measures and possibly contribute to wider adoption of the UAM operations.

The current research status of Kansei engineering in the field of emotional clothing design

PurposeThis study provides a comprehensive overview of the research landscape of Kansei engineering (KE) within the domain of emotional clothing design. It explores the pivotal technologies, challenges and potential future directions of KE, offering application methodologies and theoretical underpinnings to support emotional clothing design.Design/methodology/approachThis study briefly introduces KE, outlining its overarching research methodologies and processes. This framework lays the groundwork for advancing research in clothing Kansei. Subsequently, by reviewing literature from both domestic and international sources, this research initially explores the application of KE in the design and evaluation of clothing products as well as the development of intelligent clothing design systems from the vantage point of designers. Second, it investigates the role of KE in the customization of online clothing recommendation systems and the optimization of retail environments, as perceived by consumers. Finally, with the research methodologies of KE as a focal point, this paper discusses the principal challenges and opportunities currently confronting the field of clothing Kansei research.FindingsAt present, studies in the domain of clothing KE have achieved partial progress, but there are still some challenges to be solved in the concept, technical methods and area of application. In the future, multimodal and multisensory user Kansei acquisition, multidimensional product deconstruction, artificial intelligence (AI) enabling KE research and clothing sales environment Kansei design will become new development trends.Originality/valueThis study provides significant directions and concepts in the technology, methods and application types of KE, which is helpful to better apply KE to emotional clothing design.

Web-Based Implementation of Information Visualization of Megalithic Cultural Heritage

Objective: The purpose of this study is to assess the outcomes of developing a megalithic culture web application in Negeri Sembilan, Malaysia, as an information visualization platform for digital heritage documentation of megalithic culture. The application's reliability is evaluated by a pilot study, with an emphasis on the elements of efficiency, ease of learning, ease of use, and user satisfaction. Method: Pilot testing in this study uses a questionnaire-based approach to collect information involving 33 respondents from around the Malay Nature and Civilization Library, Universiti Kebangsaan Malaysia (UKM). The collected data was analyzed with the Statistical Package for the Social Sciences (SPSS) software version 28. Results and Discussion: The study's findings indicate that the produced web application has excellent and effective values with a high level of consistency. This means that it can be used as a digital documentation medium to show the community what cultural heritage survives in this state today in order to preserve it. It is hoped that the web application produced will assist in transmitting and sharing knowledge on megalithic culture in Negeri Sembilan to the general public, as part of efforts to dignify cultural heritage remains. Research Implications: This study adds to the creation of digital documents based on web applications that can be simply and rapidly accessed by all levels of global society. The consequences of these research findings can serve as the foundation for formulating policies to preserve the value of megalithic cultural remnants, promote archeotourism development activities, and assist local community development and economic empowerment. Originality/Value: This work presents original discoveries on information exploration and mapping existing megalithic sites to a digital platform in an effort to improve information exchange and digital preservation, which are currently below optimal levels. This study also adds to the growth of literature by focusing on one research information source connected to megalithic culture in Negeri Sembilan rather than searching for information through multiple spread information sources. Furthermore, this endeavor represents an innovation in information sharing through the use of GIS technology, which will undoubtedly ensure that records for megalithic site discovery are always kept and accessible to future users and scholars. Through the notion of digital preservation of cultural heritage, this is one endeavor to elevate the remnants of the megalithic cultural heritage as one of the unique heritages not only in Malaysia but also worldwide.

Impacts of land use structures on ecosystem services relationships within specialized tea planting regions: a case study of Anxi County

The increasing demand for tea has resulted in the swift expansion of tea plantations, leading to significant alterations in the local ecosystem. This has garnered considerable attention. However, research on rationally modifying land use structures (LUSs) in specialized tea regions to achieve a balance with ecosystem services (ESs) and enhance their synergistic effects remains limited. In this study, we quantified the values of water yield (WY), soil conservation (SC), carbon storage (CS), and habitat quality (HQ) by the InVEST model, utilized K-means clustering to categorize the LUSs of the village areas in Anxi County from 2010 to 2020, and then investigated the influences of the LUSs on the ESs by the improvement of the constraint line tool, according to which we utilized the ecosystem services trade-off degree (ESTD) and the Pearson correlation coefficient to explore the trade-offs and synergies among ecosystem services. The findings indicated that: (1) LUSs in Anxi County are tea garden structure (TS), forest land-tea garden structure (FTS), and construction land-cropland-tea garden structure (CCTS); (2) In LUSs, to achieve a balance among WY, SC, CS, and HQ, the dominant land use proportions were as follows: 0.5 for tea plantations in TS; a range of 0.55–0.6 for forest land and 0.05–0.1 for tea plantations in FTS; and CCTS, 0.25–0.3 for built-up land, 0–0.1 for cropland, and 0.2 for tea plantations; (3) The trade-offs and synergies of ESs vary across different LUSs. The synergy is particularly evident in FTS. Increasing the quantity of forest area is helpful in enhancing the synergy of ESs. This study offers an analysis of the effect of LUSs on ESs and their interconnections in specialized tea planting regions. It serves as a valuable insight into informing urban planning for future land usage and ecological conservation efforts.

Co-creation and evaluation of an algorithm for the development of a mobile application for wound care among new graduate nurses: A mixed methods study.

Chronic wounds are a growing concern due to aging populations, sedentary lifestyles and increasing rates of obesity and chronic diseases. The impact of such wounds is felt worldwide, posing a considerable clinical, environmental and socioeconomic challenge and impacting the quality of life. The increasing complexity of care requires a holistic approach, along with extensive knowledge and skills. The challenge experienced by health-care professionals is particularly significant for newly graduate nurses, who face a gap between theory and practice. Digital tools, such as mobile applications, can support wound care by facilitating more precise assessments, early treatment, complication prevention and better outcomes. They also aid in clinical decision-making and improve healthcare delivery in remote areas. Several mobile applications have emerged to enhance wound care. However, there are no applications dedicated to newly graduate nurses. The aim of this study was to co-create and evaluate an algorithm for the development of a wound care mobile application supporting clinical decisions for new graduate nurses. The development of this mobile application is envisioned to improve knowledge application and facilitate evidence-based practice. This study is part of a multiphase project that adopted a pragmatic epistemological approach, using the 'Knowledge-to-Action' conceptual model and Duchscher's Stages of Transition Theory. Following a scoping review, an expert consensus, and stakeholder meetings, this study was pursued through a sequential exploratory mixed methods design carried out in two phases. In the initial phase, 21 participants engaged in semi-structured focus groups to explore their needs regarding clinical decision support in wound care, explore their perceptions of the future mobile application's content and identify and categorize essential components. Through descriptive analysis, five overarching themes emerged, serving as guiding principles for conceptual data model development and refinement. These findings confirmed the significance of integrating a comprehensive glossary complemented by photos, ensuring compatibility between the mobile application and existing documentation systems, and providing quick access to information to avoid burdening work routines. Subsequently, the algorithm was created from the qualitative data collected. The second phase involved presenting an online SurveyMonkey® questionnaire to 34 participants who were not part of the initial phase to quantitatively measure the usability of this algorithm among future users. This phase revealed very positive feedback regarding the usability [score of 6.33 (±0.19) on a scale of 1-7], which reinforces its quality. The technology maturation process can now continue with the development of a prototype and subsequent validation in a laboratory setting.

VIRTUAL REALITY & CURRENT PRACTICES (AN INTRODUCTION TO WIDAD FAROKAM)

This concept paper is a discussion that emphasizes the virtual reality support idea. Widad FAROKAM is an application based on the system that is compatible with the website surfed by mobile or desktop. The future target user of this system will rehearse the attention of completing the task given and divert their attachment growth by the involvement of a guardian within the task target. Still, the research must explore certain aspects which indeed can make up several issues arise. Widad FAROKAM’ integrated system is based on the currently developed product of R&D named Widad Psychetra Door (WPD). Through the investigation and feasibility study from the same research in a previous paper published on Widad FAROKAM & WPD, the common representation arises from the fourth phase of this R&D product. This fourth phase involved virtual reality.