High Positive Response Research Articles

Assessing Patient Safety Culture: Insights from a Neurological Institute.

A cross-sectional descriptive study was conducted among healthcare workers exercising at a neurological institution using a validated Hospital Survey of Patient Safety Culture questionnaire containing ten safety care dimensions. A total of 123 responses to the questionnaire were analyzed, accounting for 34.5% of the total (Cronbach's alpha=0.677). Among the participants, 61.8% considered the level of awareness regarding patient safety to be acceptable. The dimensions considered as strengths were "Organizational learning and continuous improvement" with the highest positive response (60.3%) "Relationship patient-staff member" (58.9%) and "Teamwork within units" (58.9%). However, the dimensions considered as weaknesses were "Management support for patient safety" with 28.5% of positive responses and "Communication openness and non-punitive response to error" (40%). Patient safety culture among healthcare professionals is at an average with "Organizational learning and continuous improvement" being a positive aspect. However, improvements should be made in all dimensions to enhance and promote patient safety within the institution.

Real world community-based HIV Rapid Start Antiretroviral with B/F/TAF versus prior models of antiretroviral therapy start – the RoCHaCHa study, a pilot study

BackgroundThe rapid start of antiretroviral therapy (RSA) model initiates antiretroviral therapy (ART) as soon as possible after a new or preliminary diagnosis of HIV, in advance of HIV-1 RNA and other baseline laboratory testing. This observational study aims to determine if RSA with a single tablet regimen of bictegravir, emtricitabine, and tenofovir alafenamide (B/F/TAF) is an effective regimen for achieving viral suppression and accepted by patients at the time of diagnosis.MethodsAdults newly or preliminarily diagnosed with HIV were enrolled from October 2018 through September 2021. Real world advantage, measured in days between clinical milestones and time to virologic suppression, associated with B/F/TAF RSA was compared to historical controls.ResultsAll Study RSA participants (n = 45) accepted treatment at their first visit and 43(95.6%) achieved virologic suppression by week 48. Study RSA participants had a significantly shorter time (median 32 days) from diagnosis to ART initiation and virologic suppression, in comparison to historical controls (median 181 days) (n = 42). Qualitative feedback from study RSA participants showed high acceptance positive response to RSA.ConclusionsRSA is feasible and well accepted by patients in a real-world community-based clinic setting. Promoting RSA in community-based clinics is an important tool in ending the HIV epidemic.

Patient safety culture in private hospitals in China: a cross-sectional study using the revised Hospital Survey on Patient Safety Culture.

This study aimed to translate the revised Hospital Survey on Patient Safety Culture (HSOPSC 2.0) to Mandarin, evaluate its psychometric properties, and apply it to a group of private hospitals in China to identify the determinants associated with patient safety culture. A two-phase study was conducted to translate and evaluate the HSOPSC 2.0. A cross-cultural adaptation of the HSOPSC 2.0 was performed in Mandarin and applied in a cross-sectional study in China. This study was conducted among 3,062 respondents from nine private hospitals and 11 clinics across six cities in China. The HSOPSC 2.0 was used to assess patient safety culture. Primary outcomes were measured by the overall patient safety grade and patient safety events reported. Confirmatory factor analysis results and internal consistency reliability were acceptable for the translated HOSPSC 2.0. The dimension with the highest positive response was "Organizational learning - Continuous improvement" (89%), and the lowest was "Reporting patient safety event" (51%). Nurses and long working time in the hospital were associated with lower assessments of overall patient safety grades. Respondents who had direct contact with patients, had long working times in the hospital, and had long working hours per week reported more patient safety events. A higher level of patient safety culture implies an increased probability of a high overall patient safety grade and the number of patient safety events reported. The Chinese version of HSOPSC 2.0 is a reliable instrument for measuring patient safety culture in private hospitals in China. Organizational culture is the foundation of patient safety and can promote the development of a positive safety culture in private hospitals in China.

Efficacy of a Food Supplement Containing Lactobacillus acidophilus LA14, Peptides, and a Multivitamin Complex in Improving Gastroesophageal Reflux Disease-Related Outcomes and Quality of Life of Subjects Showing Mild-to-Moderate Gastroesophageal Reflux Disease.

Dietary interventions represent an interesting alternative to pharmacological treatments for improving the quality of life (QoL) of subjects suffering from gastroesophageal reflux disease (GERD). This randomized, double-blind, placebo-controlled study aimed to evaluate the efficacy of a food supplement (FS) containing a probiotic strain, bioactive peptides, and vitamins in relieving heartburn/dyspeptic symptoms in subjects with mild-to-moderate GERD. Fifty-six adult participants were randomly assigned to receive the placebo or the active FS for 28 days. Subjects were asked to record daily the frequency and intensity of heartburn episodes and the intake of over- the-counter (OTC) medications. GERD-QoL and self-assessment questionnaires were also completed every two weeks and at the end of the treatment, respectively. FS was effective in achieving a progressive and significant reduction of heartburn frequency and severity, with an intergroup significant difference at the end of the treatment period. FS group also reported a reduction in the OTC medication intake, whereas placebo administration did not modify the OTC intake. Results from the QoL and self-assessment questionnaires showed that FS administration achieved a progressive and statistically significant intragroup and intergroup improvement in the QoL score and a higher positive response with respect to the placebo treatment.

Organizational learning in surgery in Tanzania's health system: a descriptive cross-sectional study.

Organizational learning is critical for delivering safe, high-quality surgical care, especially in low- and middle-income countries (LMICs) where perioperative outcomes remain poor. While current investments in LMICs prioritize physical infrastructure, equipment, and staffing, investments in organizational learning are equally important to support innovation, creativity, and continuous improvement of surgical quality. This study aims to assess the extent to which health facilities in Tanzania's Lake Zone perform as learning organizations from the perspectives of surgical providers. The insights gained from this study can motivate future quality improvement initiatives and investments to improve surgical outcomes. We conducted a cross-sectional analysis using data from an adapted survey to explore the key components of organizational learning, including a supportive learning environment, effective learning processes, and encouraging leadership. Our sample included surgical team members and leaders at 20 facilities (health centers, district hospitals, and regional hospitals). We calculated the average of the responses at individual facilities. Responses that were 5+ on a 7-point scale or 4+ on a 5-point scale were considered positive. We examined the variation in responses by facility characteristics using a one-way ANOVA or Student's t-test. We used univariate and multiple regression to assess relationships between facility characteristics and perceptions of organizational learning. Ninety-eight surgical providers and leaders participated in the survey. The mean facility positive response rate was 95.1% (SD 6.1%). Time for reflection was the least favorable domain with a score of 62.5% (SD 35.8%). There was variation by facility characteristics including differences in time for reflection when comparing by level of care (P = .02) and location (P = .01), and differences in trying new approaches (P = .008), capacity building (P = .008), and information transfer (P = .01) when comparing public versus faith-based facilities. In multivariable analysis, suburban centers had less time for reflection than urban facilities (adjusted difference = -0.48; 95% CI: -0.95, -0.01; P = .046). Surgical team members reported more positive responses compared to surgical team leaders. We found a high overall positive response rate in characterizing organizational learning in surgery in 20 health facilities in Tanzania's Lake Zone. Our findings identify areas for improvement and provide a baseline for assessing the effectiveness of change initiatives. Future research should focus on validating the adapted survey and exploring the impact of strong learning environments on surgical outcomes in LMICs. Organizational learning is crucial in surgery and further research, funding, and policy work should be dedicated to improving learning cultures in health facilities.

Особенности высокорослого среднеспелого сорта сои Ягуар с признаком ускоренного прироста надземной биомассы

The tall, middle maturing soybean cultivar Jaguar with a trait of accelerated formation of aboveground biomass was obtained as a result of individual selection in F4 from the hybrid combination Vilana × D-7/10 by tall growth (> 150 cm) of the stem, large seeds, middle maturity and lodging resistance. Based on the results of variety testing in 2020–2023, the soybean cultivar Jaguar exceeded the standard cultivar Vilana by 0.26 t/ha of yield. With an average vegetative period of 123 days at the latitude of Krasnodar (45°), the height of plants of this cultivar is 138 cm, varying over the years from 120 to 154 cm. In optimal moisture conditions, the weight of 1000 seeds is 160–190 g. The phenomenon of accelerated formation of aboveground biomass of plants of the cultivar Jaguar y in optimal cultivation conditions is confirmed by a 44% more intense daily increase in plant height and a 55% more intense daily increase in aboveground biomass compared to these indicators for the standard cultivar Vilana. The new tall, middle maturing soybean variety Jaguar, with a trait of accelerated formation of aboveground biomass, is characterized by increased responsiveness to additional moisture by increasing the plant height to ultra-high, increasing the number of nodes, beans and seeds, seed size and weight, and yield. It has increased resistance of tall plants to tilting and lodging due to excessive moisture due to the increased mechanical strength of the stem. Due to its tall growth and high positive response to additional moisture supply, it is suitable for cultivation in the southern foothill and central zones of the Krasnodar region, with irrigation throughout the North Caucasus and Lower Volga regions of the Russian Federation, as well as in the republics of Central Asia and Transcaucasia.

Interplay between leadership and patient safety in dentistry: a dental hospital-based cross-sectional study

ObjectivesThe study aimed to study the association of leadership practices and patient safety culture in a dental hospital.DesignHospital-based, cross-sectional studySettingRiphah Dental Hospital (RDH), Islamabad, Pakistan.ParticipantsAll dentists working at RDH were...

Psychometric Analysis of the Indian Version of the Patient Safety Culture Tool (I-HSOPSC 2.0) Validation

Patient safety, which is both an overarching principle and a key factor in determining the quality of healthcare, continues to be a priority in healthcare systems on a global scale. A cross-sectional study in accredited Indian hospitals aimed to evaluate the HSOPSC V-2 (Hospital Survey on Patient Safety Culture). 1,603 healthcare professionals participated, assessing psychometric features using confirmatory factor analysis in SMART PLS 4. The average composite positive response rate was 64.8%. High positive responses (79%) were seen in ‘teamwork’, ‘communication about error’, and ‘hospital management support for patient safety’. However, ‘staffing and work pace’ (30%), ‘response to error’ (50%), ‘communication openness’, and ‘reporting patient safety events’ (both 59%) had lower positive responses, indicating room for improvement. Findings suggest I-HOSPSC 2.0’s content validity, reliability, and construct validity in measuring patient safety culture in Indian hospitals. It can aid administrators in assessing safety culture and improving patient safety and treatment efficacy. Notably, this is the inaugural HSOPSC V-2 validation research in the Indian healthcare context. Future research should explore the tool’s psychometric properties based on care setting levels due to substantial differences between public and private healthcare setups in India.

Pengaruh Konten Nadia Omara terhadap Persepsi dan Minat Pengikut di Platform Media

This research examines the influence of Nadia Omara's content on the perceptions and interests of media platform followers. This research uses qualitative description. The results of this research show how the influence of Nadia Omara's content on the perceptions and interests of her followers on social media platforms opens up an interesting discussion space in the context of digital content. Through in-depth exploration of her content, it can be concluded that the language style, authenticity and engagement that Nadia Omara displays have a significant impact on the experience of her followers. This influence is reflected in various aspects, including increasing positive perceptions of a healthy lifestyle, mental health and happiness. A unique and distinctive language style is the main characteristic of Nadia Omara's content, creating an appeal that differentiates her from other content creators. The way he conveys each piece of information and story to the audience includes the use of an interesting language style so that it can attract the attention of the audience because the delivery is good and easy to understand. These language styles can include personification, metaphor, simile, association, litotes, and so on. High engagement and positive responses from followers also reflect Nadia Omara's success in designing content that can stimulate the interest and involvement of her followers.

A Study to Assess the Psychosocial Concerns and Coping Strategies of Parents of Mentally Challenged Attending Special Schools in Malappuram District, Kerala

Aim: The aim of the study is to explore the psychosocial concerns of parents of intellectually challenged children, to determine the coping mechanisms adopted by the parents, and to associate the psychosocial concerns of parents of mentally challenged people using the chosen demographic factors.Introduction: Mental retardation is among the most common neurologic disorder which makes certain limits in mental, cognitive, and group activities.Materials and Methods: Aquantitative non-experimental research approach based on the transaction-based model of stress and coping by Lazarus and Folkman was used. Totally 150 parents of mentally challenged children at VKM Special School, Valanchery, RICCCH, Manjeri Head Office and Good Hope School, Manjeri, were selected as a sample by purposive sampling. The tools used were demographic pro forma, a structured questionnaire on psychosocial concerns, and the David L Tobin Rating Scale for coping strategies.Results: Only 3.33% of parents got 10 out of 10 scores, 29.33% is the highest positive response, and no parents scored positive responses 1 and 2. 41.33% of the parents maintained an average social support strategy, and 45.33% had average social withdrawal strategy. There is a significant association (P < 0.05) of psychosocial concerns with their demographic variables such as the age of the parent, area of residence, monthly income, and gender of the child.Conclusion: Parents should be motivated to score positive responses by 100% with adequate support. They should be aware of improving coping ability and the actively available multidisciplinary training. Adequate measures to be taken to enhance the bridging between the child and the society.

Văn hoá an toàn người bệnh và một số yếu tố ảnh hưởng tại Bệnh viện Phạm Ngọc Thạch, Thành phố Hồ Chí Minh năm 2023

Objective: To measure patient safety culture and some factors influence in 12 areas relating to patient care in Pham Ngoc Thach Hospital. Methods: Cross-sectional research. The Hospital Survey on Patient Safety Culture (HSOPSC) questionnaire of the Agency of Healthcare Research and Quality (AHRQ) version Vietnamese was used in this survey. All medical staff working in the Pham Ngoc Thach Hospital were asked to complete the questionnaire. We employed the software Stata 16.0 and Microsoft Excel 2010 to perform the statistical analysis of the survey data. Average positive response rate in 12 patient safety culture dimensions in Pham Ngoc Thach Hospital was 75%, higher than in Taiwan (64%). Worthy of note were the high positive response rates observed in the following areas: Teamwork within units (94%), manager views and actions promoting patient safety (91%), management support for patient safety, learning-continuous improvement (89%), and feedback and communication about errors (85,6%). However, there were three areas that still received many negative responses and showed room for improvement such as handoff, transitions, staffing, and non-punitive response to errors. The survey in Pham Ngoc Thach Hospital which provides an overview of the patient safety culture in the hospital. Although most medical staff had positive responses regarding patient safety in many areas relating to patient care within their departments as well as in the whole hospital, but there were still areas that had a low positive response and needed to be improved.

Очень высокорослый среднеспелый сорт сои Мамонт

A very tall, middle maturing soybean cultivar Mamont, with traits of gigantism, was obtained as a result of individual selection in F4 from the hybrid combination Vilana × Pin GD for the characteristics of tall growth (> 160 cm) of the stem, large seeds, mid-ripening and non-lodging ability. Based on the results of variety testing 2020–2022, the soybean cultivar Mamont exceeded the standard cultivar Vilana by 0.18 t/ha by yield. The height of plants at the latitude of Krasnodar (45°) is 152–174 cm. In optimal cultivation conditions for moisture supply, the weight of 1000 seeds of this cultivar is 165–195 g. The phenomenon of the gigantism in plants of the Mamont cultivar in optimal growing conditions is confirmed to be 48 % more intense daily increase in plant height, and a 71% more intense daily increase in aboveground biomass compared to these indicators for the standard cultivar Vilana. The new very tall middle maturing soybean cultivar Mamont, with traits of gigantism, is distinguished by increased responsiveness to additional moisture by increasing the traits of plant height to ultra-high, increasing the number of nodes, beans and seeds, seed size and weight, and yield. It has increased resistance of tall plants to tilting and lodging due to excessive moisture due to the increased mechanical strength of the stem. Due to its tall growth and high positive response to additional moisture supply, it is suitable for cultivation in the southern foothill and central zones of the Krasnodar region and on irrigated plot throughout the North Caucasus and Lower Volga regions of the Russian Federation.

Title: Assessment of Student Perception Regarding Clinical Training in Undergraduate Dental Programs Using Clin Ed IQ.

Purpose. Clinical training is essential part of the dental curriculum. Both clinical environment and Teachers are essential factors which affect the acquired clinical skills. The objective was to assess the perceptions of dental students regarding their clinical training. Methods. This mixed method study using Clin Ed IQ questionnaire was conducted on Dental students graduating from both Private and Public sector institutes of Karachi. The questionnaire had four sections, the first three based on various aspect of clinical training, with responses based on 5-point Likert scale. Section four had open-ended items about dental curriculum. Results. For responses of 220 participants related to the first three sections, mean and standard deviation was calculated. Section two about Involvement in specific learning activities, had the lowest composite mean score (8.4). Results for all responses of agreement were tabulated as percentages. Overall, the scores were positive, with Section three regarding interaction with clinical instructors having highest positive responses. Dental graduates of Private sector institutes were more satisfied by their clinical training. Thematic analysis of open-ended questions yielded themes related to trained faculty, communication skills, patient safety skills, diversity, and integrated curriculum. Conclusion. The students of both types of institutes reported lack of diversity in clinical cases and deficient feedback from instructors as their major concern. However, the results showed a positive perception to their clinical experiences. Institutes and regulatory authorities should address areas of concern, to ensure provision of a holistic clinical learning environment to dental graduates.

Digital Transformations in Vocational High School: A Case Study of Management Information System Implementation in Banda Aceh, Indonesia

This study examines the digital transformation in vocational education through the implementation of a Management Information System (MIS) in Banda Aceh, Indonesia. Focused on enhancing educational administration and decision-making, the study provides insightful analysis on the integration of MIS in State Vocational High School (SMK), specifically SMKN 1 and SMKN 3 in Banda Aceh. A purposive sampling method was employed for usability testing. The questionnaire-based usability test revealed high reliability and positive user responses across multiple indicators. Data analysis affirmed the system's high user satisfaction, effectiveness, and ease of use. Despite limitations, the study highlights the significant potential of well-designed MIS in improving operational efficiency and user satisfaction in educational settings. Future research directions include expanding the sample size, conducting longitudinal studies, incorporating qualitative methods, and exploring the impact on educational outcomes, to enhance the generalizability and depth of understanding regarding the role of MIS in education.

Development of an E-Book Based on Local Wisdom of Fish Ponds in Gresik to Train Scientific Reasoning Skills

Objective: Scientific reasoning is one of the most essential skills in learning biology and can be trained by integrating local wisdom. The lack of learning media that facilitates student learning causes low students' scientific reasoning skills. The development of learning media that integrates local wisdom is needed to train students' scientific reasoning. Method: The e-Book development procedure uses the ASSURE model which consists of six stages namely (1) analyze learner characteristics, (2) state objectives, (3) select, modify or design media, (4) utilize media, (5) requires learner responses, dan (6) evaluate. Data collection was collected by validation, observation, tests, and student response questionnaires. The One-Group Pretest-Posttest Design was implemented at Muhammadiyah 10 High School Surabaya for the 2022/2023 school year. Results: The results showed that (1) the developed e-book was valid with an average validity value of 93%, (2) learning implementation was 92.5% at the first meeting, and 81% at the second meeting with the high category, (3 ) student learning outcomes in the scientific reasoning indicator increased to 88% in probabilistic reasoning, 82% in theoretical reasoning, 80% in correlation reasoning and 79% in proportional reasoning, as well as the n-Gain calculation results which with high criteria and (4) positive student responses to the use of e-books. So that the developed e-book is feasible to use in terms of local wisdom potential, e-book validity, practicality, and e-book effectiveness. Novelty: The development of an e-book on ecosystem material with the integration of local wisdom from fish ponds to train scientific reasoning skills has never been done before.

Comparing patient safety culture in primary, secondary and tertiary hospitals in Ghana.

This study compared patient safety culture among health professionals in tertiary, secondary and primary hospitals. We conducted a cross-sectional survey among thirteen primary, secondary and tertiary hospitals in Ghana. A structured questionnaire was administered to 1,656 health professionals. Data were analysed using descriptive statistics and One-Way Analysis of Variance (ANOVA). This study was conducted in the Greater Accra, Bono and Upper East regions, representing the southern, middle and northern ecological zones, respectively. Health professionals. The primary outcome was patient safety culture. Five patient safety culture dimensions were rated moderate positive response, while five were rated high positive response. We found a statistically significant difference in patient safety culture across primary, secondary and tertiary hospitals (p < 0.05). For instance, the mean difference between tertiary and secondary hospitals was statistically significant (p < 0.05). Additionally, the mean difference between tertiary and primary hospitals was statistically significant (p < 0.05). There was also a significant difference in the means between secondary and primary hospitals (p < 0.05). This study has demonstrated a variation in patient safety culture across Ghana's tertiary, secondary and primary hospitals. Therefore, healthcare managers and professionals should prioritise patient safety. This work was supported by the University of Ghana [UGRF/13/MDG-001/2019-2020].

Evaluation of patient safety culture in community pharmacies

BackgroundThe majority of medical mistakes risking patient safety have been related to medication. Numerous international health organizations support assessing safety culture in healthcare organizations as a successful tactic for long-term safety development. ObjectiveThis study aimed to assess patient safety culture, investigate determinants of patient safety in community pharmacies and identify strengths and possible improvements concerning patient safety in the Lebanese community. MethodAn observational descriptive cross-sectional study was conducted using the Pharmacy Survey on Patient Safety Culture (PSOPSC). It was distributed among Lebanese community pharmacists. ResultsOne hundred forty-five community pharmacists completed the survey. High percent positive response (PPR) was seen in the domains of patient counseling (86.4%) and teamwork (83.9%). “Staffing, Work Pressure, and Pace” composite scored 41.2%. Female pharmacists were shown to be more dedicated to patient safety culture, namely in patient counseling skills (P < 0.05). Working for 32 to 40 h per week (β = 19.305), and for >40 h per week (β = 18.315) were significantly associated with increased patient safety score. ConclusionAn overall positive perception towards patient safety culture was seen among Lebanese community pharmacists.

Kemampuan Berpikir Kritis Mahasiswa Pendidikan Geografi Pada Implementasi Case Based Learning dalam Mata Kuliah Geomorfologi Dasar

Changes in the paradigm of student center-based learning are starting to take place in Indonesian universities. This is stated and emphasized in the main university performance indicators (IKU7), namely collaborative and participatory classes. At the implementation stage, various types of learning models were developed, but explicitly CBL and PjBL were used as the main raw models. The purpose of this study was to determine the effect of the application of the Case Based Learning (CBL) model on improving students' critical thinking skills. The subjects in this study amounted to 25 people with the type of quantitative research one group pretest and posttest design. The results show that the CBL model is quite effective in improving students' critical thinking skills through calculating the percentage n-gain score of 56.24%. This finding is reinforced by the high positive response of students to the learning model through perception networking through research questionnaires.

Differential effects of UPPS-P impulsivity on subjective alcohol response and craving: An experimental test of acquired preparedness.

Recent studies have extended the acquired preparedness model to experimental data, finding that impulsivity predicts subjective alcohol response, a related yet distinct construct from expectancies. However, studies have not tested whether specific facets of impulsivity predict subjective response, or whether impulsivity indirectly predicts alcohol craving through subjective response. Young adults who reported past-month binge drinking (N = 448) participated in a placebo-controlled alcohol administration study. Mediation models tested whether UPPS-P impulsivity facets indirectly predicted alcohol craving through subjective response on the ascending and descending limbs of the blood alcohol content (BAC). High arousal positive (e.g., sociable), low arousal positive (e.g., relaxed), high arousal negative (e.g., rude), and low arousal negative (e.g., dizzy) subjective effects were measured across limbs. Moderation by beverage condition was not detected, so models were collapsed across beverage condition. Sensation seeking indirectly predicted craving through high arousal positive subjective response on both limbs, whereas positive and negative urgency directly predicted craving. When controlling for baseline subjective response and craving, effects of sensation seeking and negative urgency on subjective response and craving became nonsignificant. The effects of positive urgency on craving remained, and an effect of positive urgency on high arousal positive effects emerged on the ascending limb. Findings suggest that relations among impulsivity, subjective response, and craving are contingent upon the specific facet of impulsivity. Interventions targeting predrink cue exposure and/or positive emotionality may be most effective for sensation seekers, whereas targeting subjective response and/or expectancies may be most efficacious for individuals high in positive urgency. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Proposing Three Potential-Interest Development Paradigm as the Local People Involvement Strategy for Tourism Destination Sustainability in Indonesia

This paper proposing the destination development paradigm based on the blend among the different potential interests of nature, physical cultural products, and local beliefs in a single destination. This blend governs the way how the management, visitors, local people should do in order to keep the sustainability and local people empowering. This paradigm was proved in Lombok and Java Indonesia which have engaged double different potential interests in a single destination along hundreds years. The research was done qualitatively, by interviewing the purposive respondents to confirm the open questionnaires relating the participations and responses of the local people or communities. The 137 purposive samples are based on their engagements in the tourism. The results show that: 1) the most sustaining interests are the blend of interests among the local beliefs, the nature, and physical cultural products; 2) the development paradigm of Sunan Kudus in Java is Bipots, while Sembalun, Bayan in Lombok and Muria in Java has Tripots development paradigm; 3) The management are involving local people daily activities, local communities and agents, as well as visitors in developing the destination; 4) The high positive responses of the local people, through which the interests are their daily concerns, support in sustaining the destinations, which are intersecting the three different potential interests; proposed as Tripots Paradigm.&#x0D;