Implementation Considerations Research Articles

Legal accountability and ethical considerations of AI in financial services

Artificial Intelligence (AI) is revolutionizing the financial services industry, offering unparalleled opportunities for efficiency, innovation, and personalized services. However, along with its benefits, AI in financial services raises significant legal and ethical concerns. This paper explores the legal accountability and ethical considerations surrounding the use of AI in financial services, aiming to provide insights into how these challenges can be addressed. The legal accountability of AI in financial services revolves around the allocation of responsibility for AI-related decisions and actions. As AI systems become more autonomous, questions arise about who should be held liable for AI errors, misconduct, or regulatory violations. This paper examines the existing legal frameworks, such as data protection laws, consumer protection regulations, and liability laws, and assesses their adequacy in addressing AI-related issues. Ethical considerations in AI implementation in financial services are paramount, as AI systems can impact individuals' financial well-being and access to services. Issues such as algorithmic bias, transparency, and fairness are critical in ensuring ethical AI practices. This paper discusses the importance of ethical guidelines and frameworks for AI development and deployment in financial services, emphasizing the need for transparency, accountability, and fairness. The paper also examines the role of regulatory bodies and industry standards in addressing legal and ethical challenges associated with AI in financial services. It proposes recommendations for policymakers, regulators, and industry stakeholders to promote responsible AI practices, including the development of clear guidelines, enhanced transparency measures, and mechanisms for accountability. Overall, this paper highlights the complex interplay between AI, legal accountability, and ethical considerations in the financial services industry. By addressing these challenges, stakeholders can harness the full potential of AI while ensuring that it is deployed in a responsible and ethical manner, benefiting both businesses and consumers.

LEADERSHIP STYLES AND PERFORMANCE OF ROAD PROJECTS UNDER KENYA RURAL ROADS AUTHORITY IN KENYA

Road infrastructure drives global economic growth by facilitating the movement of goods, services, and people, enhancing trade and regional integration; recent improvements in developing countries have reduced cost overruns, highlighting the importance of effective strategy implementation, stakeholder engagement, and sustainability considerations for project success. The aim of the study was to establish whether leadership styles influence the performance of road projects by Kenya Rural Roads Authority. The study sought to establish whether leadership styles influence the performance of road projects by Kenya Rural Roads Authority. The study employs multiple theories, including Resource-Based Theory, Agency Theory, and others, within a mixed-methods approach guided by pragmatism. Focused on 140 Development Road Projects by KeRRA, it includes 104 Strategy Implementation Officers, Contractors’ CEOs, and KeRRA officials. Data, gathered through questionnaires and interviews, underwent statistical analysis revealing a significant positive correlation (r = 0.508, p < 0.05) between leadership styles and project performance, using SPSS Version 27. The study suggests that project managers at the Kenya Rural Roads Authority demonstrate positive leadership qualities, such as agreeableness and visionary leadership, which are linked to timely completion of road construction projects, although challenges like resistance to change and laissez-faire leadership tendencies may impede project success. Recommendations include reinforcing and promoting positive leadership qualities among project managers at the Kenya Rural Roads Authority, focusing on aspects such as agreeableness, visionary leadership, and developmental leadership, while addressing challenges related to laissez-faire and resistance to change through training and support initiatives, and emphasizing the importance of directive leadership to improve project outcomes and ensure successful completion of road construction projects. KEY WORDS: Leadership Styles, Performance of Road Construction Projects, Kenya Rural Roads Authority

Understanding supported self-management for people living with a lower-grade glioma: Implementation considerations through the lens of normalisation process theory.

Supported self-management can improve clinical and psychosocial outcomes in people with cancer; the considerations required to implement self-management support (SMS) for people living with a lower-grade glioma (LGG)-who often have complex support needs-are not known. We aimed to identify and understand these implementation considerations through the lens of normalisation process theory (NPT), from the perspectives of healthcare professionals (HCP) and people with LGG. We conducted semistructured interviews with HCPs who support adults with brain tumours (n = 25; 12 different healthcare professions), and people with LGG who had completed primary treatment (n = 28; male n = 16, mean age 54.6 years, mean time since diagnosis 8.7 years), from across the United Kingdom. Interviews were transcribed and inductive open coding conducted, before deductively mapping to constructs of NPT. We first mapped HCP data, then integrated data from people with LGG to explore alignment in experiences and perspectives. We generated supporting evidence for all four NPT constructs and related subconstructs, namely: 'Coherence', 'Cognitive participation', 'Collective action'and 'Reflexive monitoring'. Data from HCPs and people with LGG clearly demonstrated that effective SMS constitutes a collective activity. Key implementation considerations included: ensuring awareness of, and access to, support; building strong HCP-support recipient relationships; and careful inclusion of close family and friends. We identified pertinent challenges, such as identifying support needs (influenced by the extent to which those with LGG engage in help-seeking), resistance to support (e.g., technology literacy), training for HCPsand HCP cooperation. This study demonstrates the collective nature of, and provides insight into the individual roles within, supported self-management. We outline considerations to operationalise, sustainand appraise the implementation of SMS for people with LGG. People with brain tumours, and informal caregivers, were involved in the development of information materials and topic guides to ensure accessibility and pertinence. They also had opportunities to comment on interview findings.

Using Progress Feedback to Enhance Treatment Outcomes: A Narrative Review.

We face increasing demand for greater access to effective routine mental health services, including telehealth. However, treatment outcomes in routine clinical practice are only about half the size of those reported in controlled trials. Progress feedback, defined as the ongoing monitoring of patients' treatment response with standardized measures, is an evidence-based practice that continues to be under-utilized in routine care. The aim of the current review is to provide a summary of the current evidence base for the use of progress feedback, its mechanisms of action and considerations for successful implementation. We reviewed ten available meta-analyses, which report small to medium overall effect sizes. The results suggest that adding feedback to a wide range of psychological and psychiatric interventions (ranging from primary care to hospitalization and crisis care) tends to enhance the effectiveness of these interventions. The strongest evidence is for patients with common mental health problems compared to those with very severe disorders. Effect sizes for not-on-track cases, a subgroup of cases that are not progressing well, are found to be somewhat stronger, especially when clinical support tools are added to the feedback. Systematic reviews and recent studies suggest potential mechanisms of action for progress feedback include focusing the clinician's attention, altering clinician expectations, providing new information, and enhancing patient-centered communication. Promising approaches to strengthen progress feedback interventions include advanced systems with signaling technology, clinical problem-solving tools, and a broader spectrum of outcome and progress measures. An overview of methodological and implementation challenges is provided, as well as suggestions for addressing these issues in future studies. We conclude that while feedback has modest effects, it is a small and affordable intervention that can potentially improve outcomes in psychological interventions. Further research into mechanisms of action and effective implementation strategies is needed.

Adherence to buprenorphine-XR through hybrid telehealth contingency management procedures: a case series

ABSTRACT Background and objectives Contingency management (CM) for substance use disorders (SUD) is effective in strengthening recovery behaviors, however can be quite burdensome. When health facilities experience staff shortages, adapting current CM protocols to be less staff and time intensive may be one way to address this challenge. Methods Case series (N = 3). Results Three veterans with opioid use disorder (OUD) received CM for treatment adherence through a Veteran Health Administration Outpatient Substance Disorder program. Due to the COVID-19 pandemic, traditional CM procedures resulted in limited accessibility and staff, delayed appointments, and decreased patient satisfaction. In response, the hybrid telehealth contingency management (HTCM) procedure was developed and implemented. Flexibility offered by HTCM allowed for consecutive completion of appointments and maintained adherence to BUP-XR treatment. Conclusions This is a novel method of CM implementation. HTCM streamlined the process and was successful in increasing accessibility, reducing time-burden on patients and staff, while preserving fidelity to key components of the model. Considerations for future implementation and implications of HTCM are discussed.

Implementation of an integrated primary care prevention and management program for chronic low back pain (LBP): patient-reported outcomes and predictors of pain interference after six months

BackgroundIntegrated primary care programs for patients living with chronic pain which are accessible, interdisciplinary, and patient-centered are needed for preventing chronicity and improving outcomes. Evaluation of the implementation and impact of such programs supports further development of primary care chronic pain management. This study examined patient-reported outcomes among individuals with low back pain (LBP) receiving care in a novel interdisciplinary primary care program.MethodsPatients were referred by primary care physicians in four regions of Quebec, Canada, and eligible patients received an evidence-based interdisciplinary pain management program over a six-month period. Patients were screened for risk of chronicity. Patient-reported outcome measures of pain interference and intensity, physical function, depression, and anxiety were evaluated at regular intervals over the six-month follow-up. A multilevel regression analysis was performed to evaluate the association between patient characteristics at baseline, including risk of chronicity, and change in pain outcomes.ResultsFour hundred and sixty-four individuals (mean age 55.4y, 63% female) completed the program. The majority (≥ 60%) experienced a clinically meaningful improvement in pain intensity and interference at six months. Patients with moderate (71%) or high risk (81%) of chronicity showed greater improvement in pain interference than those with low risk (51%). Significant predictors of improvement in pain interference included a higher risk of chronicity, younger age, female sex, and lower baseline disability.ConclusionThe outcomes of this novel LBP program will inform wider implementation considerations by identifying key components for further effectiveness, sustainability, and scale-up of the program.

Automated Lead Qualification Using RPA and Sales Force

Lead qualification is a critical process in sales and marketing, determining which leads have the highest potential for conversion into customers. This paper explores the integration of Robotic Process Automation (RPA) with Salesforce Customer Relationship Management (CRM) to automate lead qualification processes. By leveraging the capabilities of RPA bots to extract, process, and analyze data from Salesforce, businesses can achieve faster and more accurate lead qualification, leading to increased sales efficiency and revenue generation. This paper discusses the benefits, challenges, and implementation considerations of this integration, supported by real-world examples from companies that have successfully implemented automated lead qualification using RPA and Salesforce.

Taxonomy of theories for blockchain applications in business and management

The rising prominence of blockchain technology has spurred researchers to delve deeper into its applications through the lens of organizational and management theories. Our thematic analysis of blockchain literature reveals examination across five key areas: economic, strategic, operational, behavioral, and implementation considerations, each viewed through various theoretical perspectives. The multifaceted nature of blockchain phenomena necessitates diverse types of theory and research questions. Thus, the unique characteristics within each area stimulate the formulation of inquiries that address a system of research questions about what, how, why, when, where, what will be, and how to do. Existing literature predominantly emphasizes explanatory and predictive type of theories, notably expanding research topics such as blockchain adoption behavior. However, this singular focus limits the exploration of diverse reasoning approaches suited to blockchain's complexity. Our study illustrates how different types of theory contribute to understanding each of the identified blockchain application areas. Based on our findings, we propose pertinent questions that highlight the need for varied theoretical frameworks and address specific issues within each application area. Furthermore, we recommend appropriate type of theories to address these questions, fostering a more multi-perspective investigation across the breadth of blockchain-related research topics and areas. By embracing diverse theoretical perspectives, we aim to create a more balanced research landscape, facilitating deeper insights into blockchain phenomena.

Stakeholder Implementation Considerations for PATH (Plan for Appropriate Tailored Healthcare in Pregnancy) Social Needs Recommendations [ID 2683568

INTRODUCTION: Unmet social needs negatively affect health care access and outcomes, and are disproportionately experienced by groups marginalized by racism, socioeconomic status, and geography. The Plan for Appropriate Tailored Healthcare in Pregnancy (PATH), a consensus-based prenatal care recommendation developed by a multidisciplinary panel of prenatal care experts, includes two recommendations regarding social needs: 1) early screening for medical and social determinants of health; and 2) management of social needs in prenatal care. A national listening tour was conducted to capture stakeholder feedback for implementing social needs recommendations into practice. METHODS: We conducted nine, 120-minute virtual focus groups with more than 25 organizations including professional (8), patient advocacy (8), public health (5), and payer groups (4). Focus groups were transcribed, coded by recommendation, and analyzed with matrix coding across patient, clinic, and policy level implementation considerations. RESULTS: Focus groups included 110 participants. Patient-level considerations for implementation included the importance of relationship building, shared decision-making, resources-first screening, and delivery of trauma-informed, culturally concordant care. On the clinic level, participants stressed robust clinic-level processes for providing effective social needs care, including multidisciplinary care navigation, social needs toolkit utilization, dynamic patient needs assessments, and provision of closed-loop referrals. Policy-level considerations included the need for improved provider incentives, interprofessional group collaboration, evidence-based research, and social needs infrastructure. CONCLUSION: Key considerations for implementing social needs care at the individual, clinic, and policy levels must be operationalized for successful integration into routine prenatal care. Further evidence is needed to identify and test the best approaches to addressing unmet social needs across practice settings.

Stakeholder Perspectives of PATH (Plan for Appropriate Tailored Healthcare in Pregnancy) Telemedicine Recommendations [ID 2683565

INTRODUCTION: The COVID-19 pandemic has propelled innovation in prenatal care delivery including use of telemedicine for routine prenatal visits. The Plan for Appropriate Tailored Healthcare in Pregnancy (PATH), a consensus-based prenatal care recommendation developed by a multidisciplinary panel of prenatal care experts, includes two recommendations regarding telemedicine: 1) telemedicine should be an option for all visits aside from four key in-person contacts requiring in-person visits; and 2) home monitoring is an appropriate option for most routine parameters during pregnancy. A national listening tour was conducted to elicit stakeholder feedback for incorporating telemedicine recommendations into practice. METHODS: We conducted nine, 120-minute virtual focus groups with more than 25 organizations including professional (8), patient advocacy (8), public health (5), and payer groups (4). Focus groups were transcribed, coded by recommendation. Data were next analyzed with matrix coding across positive attitudes, negative attitudes, and implementation considerations. RESULTS: Focus groups included 110 participants. Most participants supported telemedicine use as a care modality for routine prenatal care. Positive attitudes included the belief that telemedicine increased care flexibility, care access, and patients' health agency. Negative attitudes included concerns that poor digital literacy, insufficient access to devices, and high cost could perpetuate existing health disparities. Implementation considerations included the importance of relationship building with patients, technical support staff use, home monitoring device validation, and patient education on telehealth best practices. Participants also emphasized needed improvements to telehealth infrastructure and funding. CONCLUSION: Interprofessional stakeholders broadly support telemedicine use in routine prenatal care. Improvements in existing advocacy efforts, research, and infrastructure in underserved communities are needed to facilitate increased access to telemedicine.

Stakeholder Perspectives of the PATH (Plan for Appropriate Tailored Healthcare in Pregnancy) Targeted Visit Schedule Recommendation [ID 2683601

INTRODUCTION: Traditional prenatal care delivery guidelines recommend 12–14 in-person visits for all patients, although care can be safely delivered to average-risk patients with 8–9 targeted visits. These additional visits may result in oversurveillance and unnecessary interventions. The Plan for Appropriate Tailored Healthcare in Pregnancy (PATH), a consensus-based prenatal care recommendation developed by a multidisciplinary team of prenatal care experts, recommends tailoring care delivery to patients' needs by using targeted visit schedules for average-risk patients. A national listening tour was conducted to obtain stakeholder feedback for incorporating this care delivery model into practice. METHODS: We conducted nine, 120-minute virtual focus groups with more than 25 organizations including professional (8), patient advocacy (8), public health (5), and payer groups (4). Focus groups were transcribed and coded by recommendation, and analyzed with matrix coding across positive attitudes, negative attitudes, and implementation considerations. RESULTS: Focus groups included 110 participants. Positive attitudes included the belief that targeted visit schedules would improve visit attendance, care flexibility, and resource equity. Negative attitudes included concerns for inappropriate targeted visit schedule application, inadequate safety net systems for missed services, and reduced payer reimbursement. Providers were also concerned about decreased opportunities for relationship building and counseling in targeted visit schedules. Implementation considerations included the importance of shared decision-making, serial needs assessments, and clear risk stratification guidelines. Participants emphasized the need for multidisciplinary safety net processes to ensure timely, adequate care. CONCLUSION: Participants were receptive to incorporating targeted visit schedules for average-risk individuals into routine prenatal care. Greater infrastructure investment is needed to implement more flexible care models successfully.

How to Prevent Atopic Dermatitis (Eczema) in 2024: Theory and Evidence

Atopic dermatitis (AD) or eczema is a chronic inflammatory skin disease characterized by dry, itchy, and inflamed skin. We review emerging concepts and clinical evidence addressing the pathogenesis and prevention of atopic dermatitis. We review several interventions ranging from skin barrier enhancement strategies; probiotics, prebiotics, and synbiotics, and conversely, antimicrobial exposure; vitamin D and omega fatty acid supplementation; breastfeeding and hydrolyzed formula; house dust mite avoidance and immunotherapy. We appraise the available evidence base within the context of the GRADE approach. We also contextualize our findings in relation to concepts relating atopic dermatitis and individual-patient allergic life trajectories versus a linear concept of the atopic march and provide insights into future knowledge gaps and clinical trial design considerations that must be addressed in future research. Finally, we provide implementation considerations to detect population-level differences in AD risk. Major international efforts are required to provide definitive evidence regarding what works, and what does not, for preventing AD.

E-HRM - Transforming Human Resource Management in the Digital Age: A Conceptual study

In the digital age, Electronic Human Resource Management (e-HRM) emerges as a transformative force reshaping traditional HR practices and organizational dynamics. E-HRM was developed due to advancements in technology, resulting in a reduction of administrative tasks for HR professionals (Thathsara, 2021). This paper explores the evolution, significance, and future trends of e-HRM in the context of modern Human Resource Management (HRM). The study begins by defining e-HRM as the integration of HRM strategies, processes, and systems through information technology. It traces the evolution of e-HRM from its inception to its current state, highlighting key features, components, and advantages. Moreover, the paper delves into the implementation challenges and considerations associated with e-HRM, including resistance to change, data security concerns, and the need for comprehensive training. Furthermore, it explores future trends and innovations in e-HRM, such as artificial intelligence, blockchain technology, and virtual collaboration, and discusses their implications for HR practices and organizational performance. In conclusion, the study underscores the transformative potential of e-HRM in driving organizational excellence, employee engagement, and competitive advantage in the digital age. It calls for organizations to embrace e-HRM as a strategic enabler for digital transformation and to invest in innovative HR solutions to thrive in an ever-evolving business landscape.

Unveiling Technology Acceptance in the Elevator Industry: An Extension of the Unified Theory of Acceptance and Use of Technology Model

This study aimed to examine the factors influencing individuals' behavioral intentions to use hydraulic elevators through Structural Equation Modeling (SEM) analysis and assess their feasibility across five crucial aspects: Economic, Technical, Legal, Operational, and Scheduling. We found that perceived benefits, perceived risks, and social influence significantly impact behavioral intentions. The feasibility analysis results indicate that hydraulic elevators are economically, technically, and operationally viable, with mean scores of 0.68, 5.03, and 4.98, respectively. However, potential legal and scheduling challenges were identified, with mean scores of 0.33 for both aspects. The study's implications suggest addressing individuals' perceptions of benefits, risks, and social influence, as well as informing decision-makers about practical considerations for successful hydraulic lift implementation. Despite limitations, such as self-reported data and cross-sectional survey design, the study provides valuable insights into factors influencing behavioral intentions and feasibility considerations. Future research could explore longitudinal data and additional factors, such as environmental concerns, accessibility, and user experience.

Technical-economic feasibility of installing a photovoltaic generation plant: a case study in a public university

The energy compensation system has attracted the interest of several sectors, including the public sector. In this context, this work presents a technical dimensioning and techno-economic feasibility of installing a photovoltaic generation plant, considering the service to a Brazilian public university campus. Four systems were designed using NREL's PVWatts and SAM tools with the NSRDB database, analyzing 6 economic viability situations. The results show a payback of 6 years and 3 months for a 545kWp system without energy storage and 10 years and 5 months for a 180kWp system with energy storage. The variations in the results depend on the implementation considerations of each of the proposed systems, such as the energy availability demand contract and the savings on the bill made possible by the implementation method.

Evaluating the Feasibility of Intelligent Blind Road Junction V2I Deployments

Cellular Vehicle-to-Everything (C-V2X) communications is a technology that enables intelligent vehicles to exchange information and thus coordinate with other vehicles, road users, and infrastructure. However, despite advancements in cellular technology for V2X applications, significant challenges remain regarding the ability of the system to meet stringent Quality-of-Service (QoS) requirements when deployed at scale. Thus, smaller-scale V2X use case deployments may embody a necessary stepping stone to address these challenges. This work assesses network architectures for an Intelligent Perception System (IPS) blind road junction or blind corner scenarios. Measurements were collected using a private 5G NR network with Sub-6GHz and mmWave connectivity, evaluating the feasibility and trade-offs of IPS network configurations. The results demonstrate the feasibility of the IPS as a V2X application, with implementation considerations based on deployment and maintenance costs. If computation resources are co-located with the sensors, sufficient performance is achieved. However, if the computational burden is instead placed upon the intelligent vehicle, it is questionable as to whether an IPS is achievable or not. Much depends on image quality, latency, and system performance requirements.

Flipped Classroom and Collaborative Work as an Inclusive Strategy in Higher Education

Objective: The aim of this research is to evaluate the implementation of the flipped classroom and collaborative work in university marketing students, in terms of academic performance, the development of cross-curricular competencies, student satisfaction and motivation, and the effective use of information and communication technologies in the learning process. Theoretical Framework: The main concepts and academic literature that underpin the research are presented, providing a solid foundation for understanding the context of the study. Method: The methodology adopted for this research is quantitative in nature, with a cross-sectional design, and exploratory and descriptive scope. Data collection was conducted using a questionnaire composed of five dimensions, in order to cover all aspects inherent to the mixed inclusive strategy that combines the flipped classroom and collaborative work in the university classroom. Results and Discussion: The results suggest that the flipped classroom and collaborative work have a generally positive impact on higher education, in line with much of the current scientific literature. However, it is also evident that careful consideration of implementation and context is necessary to maximize their effectiveness. Variations in outcomes, depending on factors such as discipline, course design, and the digital skills of the participants, are crucial aspects that must be considered. These findings underline the importance of a balanced and adaptive approach in the application of innovative methodologies in higher education. Originality/Value: This study stands out for its rigorous exploration of how the integration of the flipped classroom and collaborative work in higher education enhances soft skills and academic performance, contrasting with traditional methodologies. It underscores the relevance of adapting educational strategies to maximize the effectiveness of ICT in a contemporary and diversified learning context. Its value lies in providing empirical evidence that supports the implementation of these innovative methodologies, promoting more inclusive and effective learning environments.

Smart Courier System

The advent of e-commerce has significantly increased the demand for efficient last-mile delivery solutions. Traditional courier systems often struggle to meet the growing demands of consumers, leading to delays, inefficiencies, and customer dissatisfaction. To address these challenges, this paper proposes a Smart Courier System (SCS) designed to optimize and streamline the last-mile delivery process. The SCS incorporates advanced technologies such as Internet of Things (IoT) to enhance efficiency, accuracy, and reliability throughout the delivery journey. Key components of the SCS include real-time tracking and monitoring. By leveraging these technologies, the SCS aims to minimize delivery times, reduce operational costs, and improve overall customer experience. Additionally, the paper discusses potential challenges and implementation considerations for deploying the SCS in real-world courier operations. Overall, the Smart Courier System presents a promising solution to address the evolving demands of the modern logistics landscape and pave the way for a more efficient and reliable last-mile delivery ecosystem. This document gives formatting instructions for authors preparing papers for publication in the International Journal. The authors must follow the instructions given in the document for the papers to be published. You can use this document as both an instruction set and as a template into which you can type your own text

A mixed methods feasibility study of a virtual group-based social support program for older adults in residential care

Objectives In response to calls for inventive ways to mitigate risks of physical distancing due to the COVID-19 pandemic for older adults living in residential care, the JAVA Music Club–Digital (JMC-D) was developed. The current feasibility study investigated benefits, usability, and implementation of weekly JMC-D sessions over 6 months. Method Employing a pre-post mixed methods study, depressive symptoms, loneliness, social isolation, and quality of life were measured at baseline, 3 and 6 months. Qualitative interviews were conducted at 3 months. Results Twenty-one residents were recruited. Across the three time points there was a large effect for depressive symptoms, social isolation, and quality of life, though not statistically significant. There was a significant immediate increase in happiness following engagement in the JMC-D sessions. Thematic analysis of semi-structured interviews generated two overarching themes: Experiencing the JMC-D (subthemes: Benefits, Navigating the virtual platform, Feedback) and Considerations for Implementation (subthemes: Perceived purpose, Characteristics that impact the experience, and Infrastructure and resources). Conclusion Findings are encouraging and suggest that the JMC-D may support emotional and other psychosocial indices of wellness in residential care during times of physical distancing. Appropriate staffing, resources, and internet accessibility are important for implementation and uptake.

The walks often give me a reason to get up and get out in the morning rather than hiding. Towards sustainable community-health enhancing interventions

Physical activity (PA) community-based programmes are increasingly put forward to promote active, healthy lifestyles and bring about long-lasting benefits to beneficiaries. Programme sustainability refers to the maintenance of an intervention beyond the initial time, resources, or other inputs to support it. A range of factors contribute to sport/PA programme sustainability; however, research often overlooks the critical ingredients to long-lasting interventions. This study explores the elements that promote, or hinder sustainability of a walking-based intervention addressed to caregivers and care-recipients in Kent, United Kingdom. Drawing on interviews and focus group data with organisers and participants, findings were grouped under three overarching themes: Benefits on social and mental well-being, factors facilitating programme engagement and key implementation considerations. In discussing these findings in context, we provide implications for the sustainable planning and implementation of future community sport and PA programmes.