Innovative Program Research Articles

Cardiovascular disease risk factors and infertility: multivariable analyses and one-sample Mendelian randomization analyses in the Trøndelag Health Study.

Are cardiovascular disease (CVD) risk factors causally associated with higher risk of infertility among women and men? We found evidence to support a causal relationship between smoking initiation and history of infertility in women. Several CVD risk factors are associated with history of infertility. Previous studies using Mendelian randomization (MR) further support a causal relationship between BMI and infertility in women. We used data from the Trøndelag Health Study (HUNT) in Norway, a prospective population-based cohort study, including 26811 women and 15598 men participating in three survey collections in 1995-1997 (HUNT2), 2006-2008 (HUNT3), and 2017-2019 (HUNT4). Our outcome was women's self-reported history of infertility, defined as ever having tried to conceive for 12 months or more or having used ART. We assigned the history of infertility reported by women to their male partners; therefore, the measure of infertility was on the couple level. We used both conventional multivariable analyses and one-sample MR analyses to evaluate the association between female and male CVD risk factors (including BMI, blood pressure, lipid profile measurements, and smoking behaviours) and history of infertility in women and men, separately. A total of 4702 women (18%) and 2508 men (16%) were classified with a history of infertility. We found a higher risk of infertility among female smokers compared to non-smokers in both multivariable and MR analyses (odds ratio (OR) in multivariable analysis, 1.20; 95% CI, 1.12-1.28; OR in MR analysis, 1.13; CI, 1.02-1.26), and potentially for higher BMI (OR in multivariable analysis, 1.13; CI, 1.09-1.18; OR in MR analysis, 1.11, CI, 0.92-1.34). In multivariable analysis in women, we also found evidence of associations between triglyceride levels, high-density lipoprotein cholesterol, lifetime smoking index, and smoking intensity with higher risk of infertility. However, these results were not consistent in MR analyses. We found no robust or consistent associations between male CVD risk factors and infertility. Our main limitation was that the CVD risk factors measured might not adequately capture the relevant time periods for when couples were trying to conceive. Additionally, we did not have information on causes of infertility in either women or men. Women with infertility could have a worse CVD risk factor profile and thus public health interventions aimed at reducing the impact of some CVD risk factors, such as smoking and BMI, could reduce the burden of infertility. However, additional MR studies of the relationship between CVD risk factors and infertility with a larger sample size would be of value. The study was supported by a grant from the European Research Council under the European Union's Horizon 2020 research and innovation program (grant agreements no. 947684). This research was also supported by the Research Council of Norway through its Centres of Excellence funding scheme (project no. 262700) and partly funded by the Research Council of Norway, project: Women's fertility-an essential component of health and well-being (project no. 320656). D.A.L. and A.F. work in a unit that is supported by the University of Bristol and the UK Medical Research Council (MC_UU_00011/6). D.A.L.'s contribution to the article is supported by the European Research Council (101021566), the British Heart Foundation (CH/F/20/90003 and AA/18/7/34219). S.B.'s contribution to the article is supported by the Wellcome Trust (225790/Z/22/Z). B.M.B. is funded by The Liaison Committee for education, research and innovation in Central Norway; and the Joint Research Committee between St. Olavs Hospital and the Faculty of Medicine and Health Sciences, NTNU. The genotyping in HUNT was financed by the National Institute of Health (NIH); University of Michigan; The Research Council of Norway; The Liaison Committee for education, research and innovation in Central Norway; and the Joint Research Committee between St. Olavs Hospital and the Faculty of Medicine and Health Sciences, NTNU. None of the funding organizations influenced the study design, reporting, or interpretation of results. The views expressed in the present article are those of the authors and not necessarily any acknowledged funding organization. D.A.L. reports grants from Medtronic Ltd and Roche Diagnostics outside the submitted work. The other authors have no conflicts of interest. N/A.

OCB in Banking: A Mediating Model of Psychological Capital, Workload, and Job Satisfaction

Maron Tourism Village Management is an innovative program implemented by Village-This study aims to evaluates the effects of psychological capital and workload on OCB, and the mediating contribution of job satisfaction in Bank Indonesia representative area West Sumatera and Pematang Siantar. A purposive sampling technique with single criteria was used for 82 permanent bankers. Then, their responses to the online questionnaires were proposed and analysed by assisting Smart-PLS Sofware's latest version with the technique of Structural Equation Model (SEM) and path-analysis in two-tail criteria. The result shows that all relationships were tested can be stated in line with research expectations.

ДОСВІД УКРАЇНСЬКО-НІМЕЦЬКОГО ПАРТНЕРСТВА У РАМКАХ СПІВПРАЦІ БТЕФК І ФІРМИ «ЕЛМА»

The partnership in the field of professional and professional higher education between Germany and Ukraine is not only an example of cooperation between the two countries, but also a key element in the formation of modern educational approaches and the training of qualified specialists for the global labor market. This partnership is marked by the exchange of best learning methods, innovative programs and the opportunityto improve the qualifications of students in the field of hospitality, hygiene and master of industry or production,focusing on the history of the partnership, the main programs and initiatives, as well as the impact of thiscollaboration on the development of both countries in the modern world.

Time Pressure Preferences

Many professional and educational settings require individuals to be willing and able to perform under time pressure. We use a laboratory experiment and survey data to study preferences for working under time pressure. We make three main contributions. First, we develop an incentivized method to measure preferences for working under time pressure and document that participants in our laboratory experiment are averse to working under time pressure on average. Second, we show that there is substantial heterogeneity in the degree of time pressure aversion across individuals and that these individual preferences can be partially captured by simple survey questions. Third, we include these questions in a survey of bachelor’s degree students and a nationally representative survey panel and show that time pressure preferences predict career choices and income. Our results indicate that individual differences in time pressure aversion could be an influential factor in determining labor market outcomes. This paper was accepted by Yan Chen, behavioral economics and decision analysis. Funding: This work was supported by the Jan Wallander and Tom Hedelius Foundation, European Research Council under the European Union’s Horizon 2020 Research and Innovation Programme [Grant 850590]. Supplemental Material: The online appendix and data files are available at https://doi.org/10.1287/mnsc.2023.02078 .

Tag! You’re Home! Reunification of Pet Cats with their Owners Using a Community Engagement Approach

Reunification of lost pets with their owners is a key function of municipal animal shelters but reported Return to Owner (RTO) rates are as low as 3% for cats. In contrast, the percentage of recovered pet cats found within their own neighborhoods has been reported as high as 66-75%. The purpose of this study was to measure the impact of an innovative program designed to reunite cats with their owners by returning them to their neighborhoods without intake to the shelter. Loudoun County Animal Services, a municipal open-admission animal shelter with an annual intake of 2,300 animals (46% cats), created the Tag!You’re Home! Program (TYHP) on the assumption of positive intent by finders of free-roaming cats. The TYHP engages finders to return un-microchipped healthy social adult cats to their neighborhood after being furnished with a tag and collar with the shelter's contact information. Finders are advised to place the cat back where it was found and not provide food. If the cat is still present after 5 days (mandated stray period) and an owner has not called the shelter, the finder can bring the cat back for intake. Between 7/1/2022 and 12/31/2023, 499 stray cats were admitted to the shelter, 273 of which were adults, and 32 cats were enrolled in the TYHP as an alternative to intake. Of these 32 cats, 10 (31%) were confirmed RTO via owner contact, 10 (31%) did not require additional services (not brought back by finder), 6 (19%) were brought back by the finder after 5 days for intake, 4 (13%) were kept by the finder, and 2 (6%) were rehomed by the finder. Of the 6 cats brought back to the shelter, 1 had an outcome of RTO through the shelter, and 5 had an outcome of adoption. Of the 493 stray cats (267 adults) admitted to the shelter that were not first enrolled in the TYHP, 79 (74 adults) had an outcome of RTO, resulting in a 16% overall RTO rate and 28% adult RTO rate. The most common outcome subtypes for cats RTOed through the shelter were owner called (20%) and microchip (48%). Cats RTOed through the shelter were found a median of 0.4 km (IQR 0.1-1.7), or approximately 4 city blocks, from home. Over 80% of cats enrolled in the TYHP did not require intake to the shelter, and over 30% had a confirmed RTO outcome through the TYHP. While this was very similar to the 28% adult RTO rate reported during the same period for adult cats with intake to the shelter, the TYHP provided a valuable tool to RTO cats without microchips and reduced shelter intake of adult stray cats by 10%.

Dynamic properties, probability density, and estimation of an SIRIS epidemic model with an Ornstein-Uhlenbeck process★ ★This research is supported by the Research Innovation Program for Postgraduates of Xinjiang Uygur Autonomous Region under Grant (No. XJ2023G017), the National Natural Science Foundation of China (No. 12061070) and the Natural Science Foundation of Xinjiang Uygur Autonomous Region of China (No. 2021D01E13).

Considering the relapse and temporary immunity of some diseases, a stochastic SIRIS epidemic model with saturation incidence is developed in this paper, in which the Ornstein-Uhlenbeck process is introduced to describe the randomness of the model. The existence and uniqueness of the global solution are first proved to investigate the dynamic properties of the SIRIS model. By constructing a series of Lyapunov functions, the thresholds R0E and R0S are further derived to determine the extinction and persistence of the disease. Subsequently, we prove that the solution of the model admits a stationary distribution. The probability density function is obtained by the algebraic method. In addition, the unknown parameters of the density function are estimated by using the maximum likelihood estimation. Finally, numerical simulations verify the results of the above properties.

Public Aspirations and Complaints Information System: Improving the Quality of Public Complaints in Sidrap Regency

Public assessments determine the quality of public services, so public complaints are needed to improve service quality. In making the management of public complaints more effective as expected by the government in Presidential Regulation no. 76/2013, the Sidenreng Rappang Regency Government has utilized technology, by creating. public aspirations and complaints information system (SIAPP), but until now, the complaint service is still experiencing problems. The socialization of program innovations and complaint procedures through the SIAPP program is not evenly distributed at every level of society. In addition, the SIAPP admin is less responsive in responding to public complaints. Based on this, this research was carried out to analyze the quality of public complaint services in Sidenreng Rappang Regency through the SIAPP application to support the creation of quality public services. Qualitative research methods, with a descriptive approach, were the researcher's choice. Research data was obtained through interviews, which were also strengthened from observations and literature studies. The data that has been obtained is analyzed by referring to the interactive model. The research results show that the quality of public complaints in Sidenreng Rappang Regency cannot be improved by using the SIAPP application because the standard operational procedures for SIAPP are not yet complete. Regional apparatus organizations are slow in following up on community complaints, and community data security is still weak when using the SIAPP application.

Evaluation of the accelerate stunting reduction program through stunting care houses (Rumah Pesta) Wakatobi district

Wakatobi Regency as an island region in 2022 has a stunting prevalence of 29.9%, higher than the average prevalence rate for Southeast Sulawesi province of 27.7%. This regency has a high commitment to accelerating the reduction of stunting prevalence through the strategic initiative of stunting care home innovation activities (Rumah Pesta). Serving as a venue for organizing the mobilization and execution of internalizing the acceleration of the reduction of stunting through synchronization and cooperation between stakeholders, village administrations, and agencies. To evaluate the stunting reduction acceleration program through the Stunting Care House (Rumah Pesta) Wakatobi Regency. Qualitative descriptive research, content analysis was carried out on the conditions of natural objects from the context in which the event occurred in an effort to describe the incident through key informants, main informants and supporting informants based on knowledge about the stunting reduction acceleration program policy. This research uses in-depth interviews with tools in the form of recording devices, interview guides, review of rules and documents to answer research objectives using the CIPP model evaluation approach. In the context evaluation, the regional stunting reduction acceleration program policy has influenced the prevalence of stunting through the the Stunting Care House or Rumah Peduli Stunting (Rumah Pesta) innovation program which was implemented through the Decree of the Head of the P2 & KB Department. Input evaluation: The main budgetary support for activities comes from self-help, including the APBN and APBD budgets through related SKPD intermediaries who are directly involved in stunting activities. Human resource capacity is inadequate and there is no support for sustainable training programs through Rumah Pesta. Support for facilities and infrastructure for service activities in the building is inadequate, there are facilities to support stunting activities. Evaluation process: Activity planning house party activities are participatory in nature as a form of implementation of policies to accelerate stunting reduction to realize the mobilization of strategic initiative steps by the relevant SKPD leaders in the form of innovation activities, referring to 29 main indicator service coverage designed through creativity in the form of independent activities with at-risk families, local cultural approaches. Product Evaluation: Contributing directly to reducing the prevalence of stunting in Wakatobi district through interventions through assistance activities for at-risk families which are still ongoing today, Sustainability of programs or activities to accelerate stunting reduction requires synergy and support from data sources, use of accurate data through a good human resource availability approach, supporting infrastructure that meets standards at all levels of implementation of activities to accelerate stunting reduction.

An Iterative Adaptive Dynamic Programming Approach for Macroscopic Fundamental Diagram-Based Perimeter Control and Route Guidance

Macroscopic fundamental diagrams (MFDs) have been widely adopted to model the traffic flow of large-scale urban networks. Coupling perimeter control and regional route guidance (PCRG) is a promising strategy to decrease congestion heterogeneity and reduce delays in large-scale MFD-based urban networks. For MFD-based PCRG, one needs to distinguish between the dynamics of (a) the plant that represents reality and is used as the simulation tool and (b) the model that contains easier-to-measure states than the plant and is used for devising controllers, that is, the model-plant mismatch should be considered. Traditional model-based methods (e.g., model predictive control (MPC)) require an accurate representation of the plant dynamics as the prediction model. However, because of the inherent network uncertainties, such as uncertain dynamics of heterogeneity and demand disturbance, MFD parameters could be time-varying and uncertain. Conversely, existing data-driven methods (e.g., reinforcement learning) do not consider the model-plant mismatch and the limited access to plant-generated data, for example, subregional OD-specific accumulations. Therefore, we develop an iterative adaptive dynamic programming (IADP)-based method to address the limited data source induced by the model-plant mismatch. An actor-critic neural network structure is developed to circumvent the requirement of complete information on plant dynamics. Performance comparisons with other PCRG schemes under various scenarios are carried out. The numerical results indicate that the IADP controller trained with a limited data source can achieve comparable performance with the “benchmark” MPC approach using perfect measurements from the plant. The results also validate the IADP’s robustness against various uncertainties (e.g., demand noise, MFD error, and trip distance heterogeneity) when minimizing the total time spent in the urban network. These results demonstrate the great potential of the proposed scheme in improving the efficiency of multiregion MFD systems. Funding: The work was jointly funded by the National Natural Science Foundation of China under [Grant 72071214] (R. Zhong), the Dit4Tram project from the European Union’s Horizon 2020 Research and Innovation Programme under [Grant 953783] (N. Geroliminis), and the Research Student Attachment Programme of The Hong Kong Polytechnic University (C. Chen). Supplemental Material: The online appendix is available at https://doi.org/10.1287/trsc.2023.0091 .

A review of talent management and human resource practices in the context of small and medium enterprises

In the dynamic environment of small and medium-sized enterprises (SMEs), the expertise of Talent Management (TM) and Human Resource (HR) practices is important. These include a comprehensive approach for identifying, nurturing and retaining qualified workers, which define the core structure of SMEs' organizational strength. It represent an inclusive strategy to workforce development, including recruiting, upskilling, performance optimization, and developing a working culture that is well matched to the unique subtleties and challenges that SMEs encounter. This review provides a comprehensive examination of TM and HR management (HRM) methods in the context of SMEs. It starts by stressing the significance and specifics of SMEs, emphasizing their critical role in fostering growth as well as the unique obstacles they confront as a result of resource restrictions and enterprising dynamics. The importance of TM in SMEs is highlighted its crucial role in generating organizational success and innovation. Despite the inherent difficulties of TM in SMEs, such as limited resources and talent acquisition hurdles, there are exciting opportunities for advancement. Innovations in technology, strategic collaborations and talent development programs provide opportunities for SMEs to improve their competitiveness and sustainability. By addressing these significant difficulties, this summary gives a complete review of TM and HRM practices in SMEs, emphasizing the need for specialized solutions to assist SMEs with managing the complexity of recruitment and achieving sustainable success.

The Role and Challenges of the Deputy Principal for Student Affairs in Developing Student Interests and Talents in High School

This research specifically aims to highlight the role and challenges of the deputy principal for student affairs in developing students' interests and talents in high school. The research was conducted at SMA Negeri 1 Simo Boyolali using a qualitative approach to highlight the role and challenges of the deputy principal for student affairs in developing students' interests and talents. Through in-depth interviews, it was found that the active involvement of the student affairs sector in student planning, managing new student admissions, and organizing extracurricular programs was the key to success. Obstacles such as limited finances and infrastructure are the main challenges faced. Support from the education department provides legitimacy and incentives for developing students' interests and talents. The implication is the need to increase innovation in education programs, improve the quality of facilities, and cross-sector collaboration to achieve quality and inclusive education for all students.

Voices of the unhoused from Santa Fe, New Mexico: A mixed methods study of health status, substance use, and community harm reduction program perspectives

No published studies have examined the community service priorities and harm reduction perspectives of unhoused people in Santa Fe, New Mexico. We conducted a mixed methods pilot study of 56 unhoused people at community locations in Santa Fe to: (1) assess the current prevalence of chronic medical conditions and substance use; (2) highlight community service priorities; and (3) explore views of innovative community harm reduction programs. Our first hypothesis was there would be high prevalence of chronic medical conditions, for which we found high prevalence of post-traumatic stress disorder, major depression, substance use disorders, chronic pain, and hypertension. Our second hypothesis was that we would find top community service priorities of housing, food, and health care. We found long- and short-term housing and food, but not healthcare, top priorities. Our third hypothesis was that we would find mixed support for community harm reduction initiatives like managed alcohol programs and overdose prevention centers. We found positive, not mixed, support for these community harm reduction programs among Santa Fe’s unhoused. Unhoused study participants ranged in age 27–77 years, with lifetime years unhoused from less than one year to 63 years. Study limitations included small sample size, convenience sampling, and descriptive results. Policies and program initiatives supporting additional Housing First options, managed alcohol programs, and overdose prevention centers in the Santa Fe community are clearly indicated to increase engagement with this vulnerable population. Future research should focus on inclusion of the perspectives of the unhoused in the design, conduct, evaluation, and dissemination of community programs to meet the needs of the unhoused, with re-defined outcomes to include changes in quality of life, program engagement, demarginalization, and future goals and plans, beyond currently utilized health and social service program outcome measures.

Evaluation of an exercise program incorporating an international cycling competition: a multimodal intervention model for physical, psychological, and social wellbeing in residential aged care.

The transition into residential aged care is frequently associated with a reduction in physical activity, social engagement, and emotional wellbeing. Our aim was to evaluate the impact of a 26-day international cycling competition (Road Worlds Competition for Seniors), incorporating elements of exercise, audiovisual cycling footage, social engagement, and gamification, on the physical, psychological, and social well-being of aged care residents. We aimed to use findings to inform the development of a multi-modal intervention model to maximise wellbeing for older adults. Residents (N = 32) participated in a mixed-methods single-group intervention pilot study that compared pre-and post-competition measures for the following wellbeing domains; physical, psychological, and social. In addition, interviews were conducted with residents (n = 27) and staff (n = 6) to explore their experiences. Measures identified significant improvements across multiple wellbeing domains, including functional fitness, depression, self-efficacy, and social network sizes. Findings from the interview data indicated that the multimodal components involved in the program delivery were valued by staff and residents who enjoyed the gamification, audiovisual cycling footage, social engagement, opportunities for reminiscence, and camaraderie between peers, staff, and volunteers. Findings highlight a constellation of benefits across physical, psychological, and social domains of wellbeing and inform a model for innovative multidimensional programs in residential aged care. The benefits for residents with varying physical and cognitive abilities support the use of creative strategies that maximise inclusion and engagement for residents.

Prevention of dementia using mobile phone applications (PRODEMOS): a multinational, randomised, controlled effectiveness–implementation trial

The expected increase of dementia prevalence in the coming decades will mainly be in low-income and middle-income countries and in people with low socioeconomic status in high-income countries. This study aims to reduce dementia risk factors in underserved populations at high-risk using a coach-supported mobile health (mHealth) intervention. This open-label, blinded endpoint, hybrid effectiveness-implementation randomised controlled trial (RCT) investigated whether a coach-supported mHealth intervention can reduce dementia risk in people aged 55-75 years of low socioeconomic status in the UK or from the general population in China with at least two dementia risk factors. The primary effectiveness outcome was change in cardiovascular risk factors, ageing, and incidence of dementia (CAIDE) risk score from baseline to after 12-18 months of intervention. Implementation outcomes were coverage, adoption, sustainability, appropriateness, acceptability, fidelity, feasibility, and costs assessed using a mixed-methods approach. All participants with complete data on the primary outcome, without imputation of missing outcomes were included in the analysis (intention-to-treat principle). This trial is registered with ISRCTN, ISRCTN15986016, and is completed. Between Jan 15, 2021, and April 18, 2023, 1488 people (601 male and 887 female) were randomly assigned (734 to intervention and 754 to control), with 1229 (83%) of 1488 available for analysis of the primary effectiveness outcome. After a mean follow-up of 16 months (SD 2·5), the mean CAIDE score improved 0·16 points in the intervention group versus 0·01 in the control group (mean difference -0·16, 95% CI -0·29 to -0·03). 1533 (10%) invited individuals responded; of the intervention participants, 593 (81%) of 734 adopted the intervention and 367 (50%) of 734 continued active participation throughout the study. Perceived appropriateness (85%), acceptability (81%), and fidelity (79%) were good, with fair overall feasibility (53% of intervention participants and 58% of coaches), at low cost. No differences in adverse events between study arms were found. A coach-supported mHealth intervention is modestly effective in reducing dementia risk factors in those with low socioeconomic status in the UK and any socioeconomic status in China. Implementation is challenging in these populations, but those reached actively participated. Whether this intervention will result in less cognitive decline and dementia requires a larger RCT with long follow-up. EU Horizon 2020 Research and Innovation Programme and the National Key R&D Programmes of China. For the Mandarin translation of the abstract see Supplementary Materials section.

Nurturing transformative local structures of multisectoral collaboration for primary health care: qualitative insights from select states in India

BackgroundMultisectoral collaboration is essential for advancing primary health care (PHC). In low- and middle-income countries (LMICs), limited institutional capacities, governance issues, and inadequate stakeholder engagement impede multisectoral collaboration. India faces similar challenges, especially at the meso-level (districts and subdistricts). Owing to its dependence on context, and insufficient evidence, understanding “How” to improve multisectoral collaboration remains challenging. This study aims to elicit specific recommendations to strengthen meso-level stewardship in India for multisectoral collaboration. The findings from this study may offer lessons for other LMICs.MethodsUsing purposive, maximum variation sampling, the study team conducted semi-structured interviews with 20 diverse participants, including policymakers, implementers, development agency representatives, and academics experienced in multisectoral initiatives. The interviews delved into participants’ experiences, the current situation, enablers, and recommendations for enhancing stakeholder engagement and capacities at the meso-level for multisectoral collaboration.ResultsContext and power are critical elements to consider in fostering effective collaboration. Multisectoral collaboration was particularly successful in three distinct governance contexts: the social-democratic context as in Kerala, the social governance context in Chhattisgarh, and the public health governance context in Tamil Nadu. Adequate health system input and timely guidance instil confidence among local implementers to collaborate. While power plays a role through local leadership’s influence in setting agendas, convening stakeholders, and ensuring accountability. To nurture transformative local leaders for collaboration, holistic, equity-driven, community-informed approaches are essential. The study participants proposed several concrete steps: at the state level, establish “central management units” for supervising local implementers and ensuring bottom-up feedback; at the district level, rationalise committees and assign deliverables to stakeholders; and at the block level, expand convergence structures and involve local self-governments. Development partners can support data-driven priority setting, but local implementers with contextual familiarity should develop decentralised plans collaboratively, articulating rationales, activities, and resources. Finally, innovative training programs are required at all levels, fostering humility, motivation, equity awareness, leadership, problem- solving, and data use proficiency.ConclusionThis study offers multiple solutions to enhance local implementers’ engagement in multisectoral efforts, advocating for the development, piloting, and evaluation of innovative approaches such as the block convergence model, locally-led collaboration efforts, and novel training methods for local implementers.

Maternal and Child Health Policy Innovation Program (HRSA)

Maternal and Child Health Policy Innovation Program (HRSA)

Comprehensive Virtual Treatment for Severe Anxiety in Youth: A Case Report

Anxiety disorders and obsessive-compulsive disorder (OCD) are among the most common mental health conditions in children and adolescents and are associated with various impairments and long-term consequences. Evidence-based treatments exist but are often lacking in elements needed to effectively treat youth with more severe presentations. This case report illustrates a patient’s treatment course in an innovative program for children, adolescents, and young adults with severe anxiety. The program offers a continuum of outpatient, evidence-based care tailored to the severity of the patient’s condition. The case study focuses on “Jane,” an adolescent female with anxiety as well as obsessive-compulsive spectrum disorders, who had previously received extensive treatment without sustained improvement. Through the program’s three treatment phases, Jane and her parents demonstrated consistent engagement and adherence to treatment. Jane showed significant progress, with rapid reduction in symptoms and functional impairment. This case report underscores key elements of this treatment that address gaps in traditional approaches to care, particularly for patients with severe presentations, including the coordinated, team-based approach; the continuum of evidence-based, phased treatment titrated to need; the utilization of virtual individual, group and parent-focused care and between-session coaching to enhance learning generalization; and the use of measurement-based care. Further research is warranted to evaluate the generalizability and long-term outcomes of this program and its potential to transform the treatment landscape for pediatric anxiety and OCD.

GREEN WARRIOR: Empowering Women’s Economic Innovation Program Based on Green Sociopreneur through Mission-Based Learning Method for Economically Vulnerable Women (PRSE) in West Java

Economically Vulnerable Women (PRSE) are one of the vulnerable groups affected by poverty. Thus, the strategy to accelerate poverty alleviation is not merely a matter of capital and technical skills, but also about how to instill the feeling of being able to overcome life's challenges with dignity and empowerment. The purpose of this program was to enhance innovation and productivity of Economically Vulnerable Women to become Sociopreneurs capable of establishing businesses based on the concept of Green Economy. The research location is in Cibunut Village, Sumur Sub District, Bandung City. The method involved qualitatively describing the condition of Economically Vulnerable Women and outlining the concept of Green Warrior innovation. Data collection was carried out through interviews, observations, and literature studies. Green Warrior was an innovative program designed in the form of solving a mission or challenge that involved knowledge, values, and social entrepreneurial skills. Its implementation consisted of five missions: Warrior Motivation Class, Warrior Coaching Class, Warrior Creative Class, Warrior Selling Class, and The Masterpiece of Warrior to strengthen the entrepreneurial spirit of Economically Vulnerable Women using the Mission-Based Learning method. Thus, with the presence of the Green Warrior innovation, it was hoped to drive poverty alleviation through sustainable economic growth and inclusive human development by developing human resource capacity in line with economic transformation, through skills enhancement and mentoring for vulnerable workers to become more productive, creative, and innovative, as well as being able to network as part of the supply chain to support the vision of 2045 Golden Indonesia.

The Impact of an Induction Mentoring Programme for Novice Teachers. Reflections, Feedback, and Directions for Future Research

This paper examines the effects of an innovative induction programme that was provided to novice teachers during their first year of teaching. The opinions of the participants were gathered concerning the practicality and pertinence of the mentoring actions performed, the most significant outcomes of mentoring-style learning, and possible directions for the mentoring programme's continuing development. The participants explicitly mentioned the mentoring programme's formative value, placing particular emphasis on the importance of introspection and the establishment of communities for peer learning. The participants' feedback underscored the importance of maintaining an empirical approach to the matter of induction mentoring. Additionally, it emphasised the necessity of tailoring and individualising mentoring strategies to address the diverse requirements of the participants.

Understanding the impact of a residential housing program for people living with HIV/AIDS: results from a realist evaluation

BackgroundIn Canada, the Public Health Agency surveillance of new HIV cases has demonstrated annual increasing rates since 2020. The rates of new HIV cases are highest in the province of...