Community Involvement Research Articles

From the Ground Up: Stakeholder Perspectives on Housing Interventions to Reduce Environmentally Mediated Infections.

Background Housing conditions are intrinsically linked to human health, with inadequate housing potentially increasing exposure to environmentally mediated pathogens. Housing interventions that aim to improve housing and reduce environmentally mediated infections, such as finished floors and housing upgrades for vector-borne diseases, remain relatively under-explored as health interventions. This study explored facilitators of and barriers to funding, implementing, and scaling up housing improvements as health interventions to reduce environmentally mediated infectious diseases. Methods Sixteen key informants (KIs) with direct experience in implementing or working within housing interventions and environmentally mediated infectious diseases in low- and middle-income countries were interviewed using a semi-structured interview format. KIs had diverse backgrounds, including academics researching housing interventions, housing policy advisors, and practitioners implementing housing interventions. A thematic analysis approach was used to identify key themes in interview transcripts, highlighting patterns, commonalities, and variations in participants' responses. Results KIs emphasized the multi-dimensional impacts of housing interventions that are intrinsically linked to Sustainable Development Goals (SDGs), including physical and mental health, as well as environmental, social, and economic dimensions. Moreover, a pronounced shortage of funding and financial systems to address housing interventions was highlighted, alongside the urgent need for more rigorous evidence and cost-benefit analyses. Furthermore, the imperative to raise awareness of the significance of housing and the critical importance of strong collaboration across sectors and stakeholders were stressed. Emphasizing the necessity for project-based and context-specific housing policies, the interviews revealed that contextualizing interventions to their specific setting and fostering community involvement are essential for successful implementation and scale-up. Conclusions Housing interventions play a pivotal role in mitigating environmentally mediated diseases. These interventions can complement existing strategies like water, sanitation, and hygiene (WASH) interventions, ensuring comprehensive approaches to healthy housing and sustainable development goals amidst climate change.

Efforts to Increase Community Participation in Supporting The Continuity of Ecotourism Development Policies

This research aims to identify strategies that enhance community participation in supporting the sustainability of ecotourism development policies. The study specifically explores how local communities can be involved in decision-making, implementation, benefit-sharing, and evaluation activities within ecotourism projects. The methodology used is a qualitative literature review, drawing on secondary data from sources such as journal articles, theses, government reports, and books relevant to community engagement and ecotourism. The results indicate that active community participation significantly improves the sustainability and success of ecotourism projects. By engaging local communities, ecotourism not only promotes environmental and cultural conservation but also brings economic benefits, such as job creation and income growth for local populations. In particular, the involvement of communities in planning and policy evaluation is essential for aligning ecotourism initiatives with local needs. The conclusion emphasizes that fostering community involvement through education and training is critical for empowering communities and ensuring the long-term sustainability of ecotourism projects. This research provides valuable insights for policymakers to create more inclusive and sustainable ecotourism development strategies. Keywords: ecotourism, policy, community

Maintaining ethnic identity and heritage language through community involvement: a case study of third-generation Australian-Latvians

ABSTRACT By the third generation, migrant languages are usually no longer spoken and few identify with their grandparents’ ancestry. This study investigates factors that have encouraged a group of third-generation Australian-Latvians in their teens and twenties to maintain their ethnic identity and heritage language. Active community involvement was found to be a major factor, particularly in organizations such as Latvian schools, folk dancing, and singing groups. Involvement is facilitated by their connections with family, friends, people, and organizations in Latvia, and creates an individual sense of belonging with the community and identification as a Latvian.

Transmigration village development: the state and community organizations in rural Indonesia

Indonesia’s transmigration areas are recognized for failing to fulfill advancement necessities, particularly spearheading progress in remote rural regions. Despite the dynamic characteristics, Village Community Organizations (VCOs) have made transmigration village development more progressive and promising. Therefore, this study aimed to explore the engagement of VCOs, such as economic, women, and youth organizations, in developing transmigration areas. This study uses qualitative methods with data collection techniques in the form of observation and in-depth interviews in nine villages in Indonesia. A community-driven development approach was used to analyze the development of transmigration villages. The study further identified three main factors: social capital, education, and support from the village government for VCO initiatives. These factors significantly influenced the actions to foster development within each transmigration village. The results provided significant insights into the crucial role of VCOs in empowering transmigration areas. This study recommends that policymakers apply this model to encourage greater community involvement, where strengthening resources in VCOs will increase community participation in sustaining rural development. The study further complemented previous publications by examining the role of VCOs, which was neglected in developing countries such as Indonesia.

PACE: Participatory AI for Community Engagement

Public sector leverages artificial intelligence (AI) to enhance the efficiency, transparency, and accountability of civic operations and public services. This includes initiatives such as predictive waste management, facial recognition for identification, and advanced tools in the criminal justice system. While public-sector AI can improve efficiency and accountability, it also has the potential to perpetuate biases, infringe on privacy, and marginalize vulnerable groups. Responsible AI (RAI) research aims to address these concerns by focusing on fairness and equity through participatory AI. We invite researchers, community members, and public sector workers to collaborate on designing, developing, and deploying RAI systems that enhance public sector accountability and transparency. Key topics include raising awareness of AI's impact on the public sector, improving access to AI auditing tools, building public engagement capacity, fostering early community involvement to align AI innovations with public needs, and promoting accessible and inclusive participation in AI development. The workshop will feature two keynotes, two short paper sessions, and three discussion-oriented activities. Our goal is to create a platform for exchanging ideas and developing strategies to design community-engaged RAI systems while mitigating the potential harms of AI and maximizing its benefits in the public sector.

Peran Sosialisasi dan Edukasi Kewirausahaan dalam Membangun Generasi Milenial Berjiwa Wirausaha: Studi Kasus di Kelurahan Perdagangan I

This research aims to analyze the role of entrepreneurship socialization and education in fostering the entrepreneurial spirit among the millennial generation, with a case study focus in Kelurahan Perdagangan I, Simalungun Regency. Entrepreneurship socialization and education are crucial steps in fostering entrepreneurial awareness and skills, especially for the younger generation who will face economic challenges in the future. This research used a qualitative method with a case study approach. Data were collected through in-depth interviews with program participants, direct observation in the field, and document analysis related to the KKN program in Kelurahan Perdagangan I. The results showed that the program was successful. The results showed that the entrepreneurship socialization and education program implemented through KKN succeeded in increasing participants' entrepreneurial knowledge, interest, and skills. In particular, SMK students showed increased motivation to start a business after participating in entrepreneurship education. The success of the program was supported by active community involvement and a contextually relevant approach. However, there are some challenges, such as limited access to technology and financial resources, that affect the sustainability of entrepreneurial interest among the millennial generation.

Relationships between sensory reactivity and occupational performance in children with paediatric acute-onset neuropsychiatric syndrome (PANS).

Paediatric acute-onset neuropsychiatric syndrome (PANS) is a neurodevelopmental disorder affecting children's performance in a fluctuating manner. This study investigates the relationship between sensory reactivity and occupational performance in children with PANS during exacerbation phases. Understanding these relationships is crucial for developing tailored interventions and managing the condition effectively. This study is part of a larger project in which a two-period bidirectional case-crossover design was employed to assess sensory reactivity and occupational performance in children with PANS. The current study used data from exacerbation phases only. Parents of children aged 4.6 to 13.1years with PANS were recruited globally, and data were collected via online surveys. The Vineland Adaptive Behaviour Scale (VABS) evaluated occupational performance, and the Sensory Processing Measure (SPM) assessed sensory reactivity. Analysis utilised Pearson correlation to determine the relationships between sensory reactivity and occupational performance domains. Data from 60 participants who completed the SPM and 21 who completed the VABS showed moderate to strong negative correlations between the SPM total and several domain scores (vision, hearing, body awareness, balance, and motion) and the VABS Communication and Daily Living Skills scores, indicating that increased sensory reactivity is associated with decreased occupational performance during exacerbations. No significant correlation was found between sensory reactivity and socialisation skills. Findings highlight the significant relationship between sensory reactivity and occupational performance during PANS exacerbations, particularly in communication and daily living skills domains. Further research is needed to examine factors influencing socialisation skills and to assess the effectiveness of sensory interventions in improving occupational performance. Although there was no direct consumer and community involvement, two researchers on our team have family members with PANS. Their personal experiences provided vital insights into the challenges faced by children with PANS, deeply influencing our study's design, focus, and interpretation, ensuring it reflects the realities of those affected. We examined the relationship between children's daily activities and their sensory reactivity during PANS symptom flare-ups. Parents of children aged 4.6 to 13.1 years completed surveys measuring sensory reactivity and their children's performance of daily tasks. Our findings showed that during symptom flare-ups, children experienced significant difficulties with communication and daily living skills. These challenges were directly related to heightened sensory reactivity during flare-ups. This highlights the importance of providing targeted occupational therapy during these times to help children manage their symptoms and improve their daily functioning.

Governing pandemics: Resilience and community responses for COVID-19 in Bengaluru and Shanghai

ABSTRACT This study explores governance strategies and community responses to the COVID-19 pandemic in Bengaluru and Shanghai. It builds on recent evidence showing China centers on territorial institutions to respond to the pandemic, whereas democratic India relies on associational politics, including alliances with different stakeholders. The study argues that increased community involvement in Shanghai arose from the state’s inadequacies during the crisis, while resident welfare associations (RWAs) in Bengaluru primarily served the middle class and had limited impact on vulnerable populations. Using a mixed-methods approach, the study highlights key lessons that contributed to effective responses in both cities, offering policy recommendations for building resilient cities with stronger leadership. Community reactions in India and China surpassed the normal during the pandemic. Despite differences in urban regimes and political systems, Shanghai’s territorial institutions contrasted with Bengaluru’s associational approach; however local governance and community efforts significantly shaped their pandemic outcomes during the health disaster.

Sustainable Vanilla Farming in Kilifi, Kenya: A Pathway to Biodiversity Conservation

The article investigates how Kilifi County, Kenya’s sustainable vanilla growing could contribute to both economic growth and ecological preservation. Although the region’s warm, humid environment makes it ideal for growing vanilla, its ecosystems are in peril due to the intense agricultural methods. The study emphasizes the value of biodiversity and how it contributes to the preservation of ecosystem services that are essential to agricultural output. It promotes environmentally friendly methods that can boost farmers’ livelihoods and biodiversity, such as integrated pest control, organic farming, and agroforestry. The lack of technical expertise, early financial investment, and the effects of climate change are among the obstacles to sustainable vanilla production that are mentioned in the article. It suggests focused interventions—such as research development, government policy, and community involvement—to deal with these issues and advance a model of ecologically sustainable vanilla production in Kilifi.

Multi-Annual Study of Eriogaster catax (Linnaeus, 1758) (Lepidoptera, Lasiocampidae) Oviposition Strategy in Transylvania's Largest Population: Key Insights for Species Conservation and Local Land Management.

This study provides new insights into the oviposition strategy of Eriogaster catax (Linnaeus, 1758) (Lepidoptera, Lasiocampidae), an endangered species of moth found in semi-natural habitats within agricultural landscapes. Protected under various European directives and listed as Data Deficient by the IUCN, E. catax inhabits warmer regions of the Western Palearctic. Despite noted geographic variations in its ecological preferences, few studies have statistically significant data on its ecology. Our six-year study, conducted within the largest known population of E. catax. in Romania, reveals critical data on its oviposition preferences, including the species' tendency to utilize Prunus spinosa L. and Crataegus monogyna Jacq. shrubs at an average height of 80.48 ± 34.3 cm, with most nests placed within the 41-80 cm range and containing an average of 186 ± 22 eggs. The study also addresses the species' vulnerability to human activities such as bush trimming, agricultural burning, and uncontrolled grazing, particularly due to its low oviposition height. These findings underscore the negative impact of overgrazing and burning practices, particularly when conducted on a large scale, on the conservation of E. catax. The detailed ecological requirements identified in this study are essential for developing effective conservation strategies and habitat management practices. Furthermore, the study highlights the importance of local community involvement and public education in raising awareness about biodiversity and the conservation of endangered species.

Enhancing highland ecosystems in East Hararge, Ethiopia: evaluating intervention strategies for species diversity, soil organic carbon stock, and carbon sequestration

Forest loss and soil degradation pose significant challenges globally, particularly in developing nations like Ethiopia. Various intervention strategies have been implemented to rehabilitate degraded ecosystems. However, research gaps exist in understanding the most effective approaches, particularly in highland ecosystems. This study aimed to evaluate the effectiveness of different intervention strategies on species diversity and carbon stock in the West Hararghe zone, specifically at the Doba district Hades site. The data was collected from 5 February 2022 to 10 December 2022. The study area was characterized by systematic plots and transects to assess vegetation diversity and soil properties across four intervention categories: (physical; only soil and water conservation structures were used, enclosure; only animal and human interaction was restricted, biological; only different tree species were planted, biophysical; both soil water conservation and tree planting were used). Soil samples were collected at different depths, and biomass estimation was conducted using established formulas. Statistical analyses, including one-way ANOVA and post-hoc tests, were performed to test the level of significance. Biophysical interventions exhibited the highest species diversity index (SDI) (4.65 ± 1.21), followed by enclosure interventions (1.68 ± 0.58), while physical interventions recorded the lowest SDI (0.63 ± 0.18). Enclosure interventions led to the highest soil organic carbon (SOC) stocks at 40.13 t C ha−1, followed by biophysical interventions at 39.26 t C ha−1. Physical interventions resulted in the lowest SOC stocks at 23.9 t C ha−1, underscoring their potential for carbon sequestration. Biophysical interventions, which include both above-ground and below-ground biomass, showed significant carbon stock accumulation, totaling 173.8 t C ha−1 (39.26 t C ha−1 from SOC and 114.6 t C ha−1 from biomass), highlighting their effectiveness in enhancing ecosystem resilience. Other studies support these findings, underscoring the importance of context-specific approaches and long-term monitoring for sustainable land management. Enclosure and biophysical interventions emerge as promising strategies for enhancing species diversity and soil health, as well as promoting carbon sequestration in highland ecosystems. These findings emphasize the need for informed decision-making and community involvement in ecosystem restoration efforts to achieve meaningful and lasting impacts.

International Promotion Strategies and Students' Desire to Participate in Martial Arts Program in a Selected University in Beijing, China

Martial arts programs have long been celebrated for their holistic approach to physical, mental, and social development. In the context of modern education, universities worldwide have recognized the significance of incorporating martial arts into their offerings as a means to promote student well-being and holistic growth. As such, understanding the factors that influence students' desire to participate in martial arts programs has become increasingly vital for universities seeking to enhance student engagement and satisfaction. Research in various contexts has shed light on the diverse nature of students' motivations and the factors that contribute to their engagement in martial arts training. Studies such as those by Choi et al. (2021), Gutiérrez-García et al. (2018), and Kudláček et al. (2019) have explored the physical, social, psychological, and physiological effects of martial arts participation among diverse populations. These studies highlight the importance of considering a wide range of factors, including physical fitness improvements, social interactions, psychological outcomes, and individual preferences, when designing martial arts programs tailored to students' needs. The integration of social media platforms into martial arts education and promotion has revolutionized the way practitioners engage with the sport. Research suggests that social media plays a pivotal role in facilitating martial arts learning through various means such as video sharing, exchange of teaching materials, and interactive teacher-student communication (Xie et al., 2022). Furthermore, to propel the entry of Chinese martial arts events into the Olympic Games, scholars advocate for leveraging social media platforms to promote events and organize competitions, thus enhancing global visibility and participation (Xie et al., 2022). Indeed, community involvement is paramount in promoting martial arts, as evidenced by studies indicating the influence of social media marketing activities, user experience, and sport attachment on participation intentions (Xie et al., 2022). By harnessing the power of social media, martial arts organizations can expand their reach, attract new participants, and foster a sense of community among practitioners (Xie et al., 2022). Scholars emphasize the intrinsic connection between Chinese martial arts and broader cultural and philosophical concepts, advocating for leveraging international platforms to promote cross-cultural exchange and appreciation (Jennings, 2014; Wang, 2010). However, strategic considerations and challenges abound in international promotion efforts, necessitating a comprehensive approach involving government leadership, interdisciplinary cooperation, and tailored communication strategies (Yu, 2016; Qiao, 2016). By incorporating martial arts into educational settings, students not only enhance their physical fitness and self-defense skills but also develop a deeper appreciation of Chinese heritage and values (Shi, 2009; Chen, 2013). As part of this broader landscape, students' desire to participate in martial arts programs emerges as a complex interplay of various factors. Perceived benefits, such as physical fitness improvements and mental well-being, serve as strong motivators for participation (Dahle, 2017; Gutiérrez-García et al., 2018). Additionally, the social dimension of martial arts training, characterized by communal settings and supportive relationships, plays a pivotal role in fostering continued engagement (Choi et al., 2021; Anam et al., 2024). Moreover, the motivational climate within martial arts programs, shaped by clear goals and supportive environments, influences students' intrinsic motivation and long-term commitment (Silva et al., 2019; Xie et al., 2022). Individual characteristics and preferences contribute to students' desire to participate in martial arts programs, as they are drawn to specific styles, disciplines, and cultural backgrounds (Maor, 2019; Alsarve & Tjønndal, 2019). By tailoring programs to accommodate diverse interests and needs, organizers can foster inclusivity and enhance engagement among students (Maor, 2019; Alsarve & Tjønndal, 2019). The intersection of social media, international promotion strategies, technological innovations, and students' motivations underscores the dynamic and multifaceted nature of the martial arts landscape. Understanding these interconnections is vital for stakeholders seeking to promote and sustain the practice of martial arts in an increasingly interconnected and diverse world. Moreover, the promotion of martial arts programs on an international scale presents unique opportunities and challenges, particularly in multicultural university environments like Beijing, China. Understanding how international promotion strategies intersect with students' desire to participate in martial arts programs is essential for universities aiming to attract and retain diverse student populations. Research in this area can provide valuable insights into effective promotional approaches and program design considerations that cater to the needs and interests of both local and international students. Therefore, this study aims to investigate the relationship between international promotion strategies and students' desire to participate in martial arts programs at a selected university in Beijing, China. Thus, the researchers seeks to contribute to a deeper understanding of the factors influencing students' engagement in martial arts training within the context of international higher education settings. Through empirical investigation and analysis, this study aims to provide actionable recommendations for university administrators and program organizers to enhance student participation and satisfaction in martial arts programs.

Preservation of arts and culture through edutourism village of Mentaraman in Malang East Java

There are many kinds of community efforts in preserving their local culture, one of which is to carry out routine activities that are integrated with the village celebration agenda so that they become a medium for demonstrating the performance of their local cultural arts potential. This Community Service (PkM) activity aims to package cultural preservation efforts through the formation of an educational tourism village (eduwisata). The location is in the village of Mentaraman, Pagelaran Village, Malang Regency, East Java. The stages used were identification of potential and problems, Focus Group Discussions (FGDs), program preparation, socialisation, and trial visits. Analysis of the results used the 6P simultaneous stage. The results of the community service programme are in the form of a tourism package document supported by an increase in skills and a variety of performing arts as well as the involvement of local communities in management. Recommendations include the need to increase the capacity of local tour guides, the participation of artists, and the use of information technology to support digital-based promotions.

Strategies and tactics to reduce the impact of healthcare on climate change: systematic review

ObjectiveTo review the international literature and assess the ways healthcare systems are mitigating and can mitigate their carbon footprint, which is currently estimated to be more than 4.4% of global...

Influence of Community Participation on Sustainability of Non-Profit Organizations: The Case of Kenya Wildlife Conservancies Association (KWCA)

This paper examines the influence of community participation on the sustainability of non- profit organizations, with a particular focus on the Kenya Wildlife Conservancies Association (KWCA). Using stakeholder theory and participatory development theory as its theoretical framework, the study employed a descriptive research design and utilized stratified and purposive sampling. Data was collected from 100 respondents—including board members, staff, and stakeholders—via structured questionnaires and analyzed using SPSS with multiple regression. The findings demonstrated a significant positive correlation Y = 2.184 + 0.438X1 + Ԑ., between community participation and sustainability of non-profit organizations highlighting that community engagement fosters ownership, responsibility, and long-term support. The study revealed that community participation enhances resource mobilization, accountability, and transparency within non-profit organizations. Respondents emphasized the importance of community involvement in achieving these outcomes, aligning with prior research by Smith et al. (2020) and Mwangi and Njenga (2019), which also underscored the positive impact of community engagement on non-profit effectiveness and sustainability. By integrating community members into decision-making processes, non-profits can leverage local knowledge and skills, ensuring continued support and effective management. Based on these insights, several recommendations are proposed for KWCA and similar organizations. It is essential to prioritize and expand community involvement by developing more inclusive and interactive engagement programs. Establishing robust feedback mechanisms will facilitate community input and foster a sense of ownership. Additionally, investing in capacity-building initiatives to equip community members with the necessary skills and knowledge is crucial. These measures are expected to enhance community engagement, improve program effectiveness, and bolster the overall sustainability of KWCA’s initiatives.

Enhancing Offender Rehabilitation Through Co-Designed Controlled-Environment Agriculture in an Australian Maximum Security Prison

This research explores the application of controlled-environment agriculture (CEA) in an Australian maximum security prison, aiming to enhance inmate health and wellbeing through improved diet. The implementation of a medium-scale greenhouse demonstrates how CEA can effectively increase the availability of fresh produce in prison settings. By engaging inmates and correctional staff in a co-design process, the project not only promotes better nutrition but also fosters community involvement and empowerment among the participants. This inclusive approach facilitates the development of innovative and practical solutions, transforming the prison environment and encouraging rehabilitation through active participation and skills development.

Participation in health promoting occupations among mothers of children aged 3-8years with and without difficulties in sensory processing.

Participation in personally significant occupations often contributes to quality of life. Parenting a child with difficulties in sensory processing may present challenges that can affect subjective and objective components of parental participation, thus possibly decreasing their quality of life. This study aimed to compare these components between mothers of children with and without difficulties in sensory processing and explore their relationship with maternal quality of life. Seventy mothers of children aged 3-8years with (50%) and without difficulties in sensory processing completed questionnaires measuring subjective occupational experience, objective frequency of participation in health promoting activities, and quality of life. No consumer or community involvement occurred. Satisfaction with participation competence as well as objective frequency of participation in health promoting activities among mothers from the study group was found to be significantly lower than the control group. Additionally, a significant moderately strong correlation was found between these variables and the quality of life of all mothers. Subjective and objective participation in health promoting activities is lower in mothers of children with difficulties in sensory processing. Additionally, the quality of life in all mothers was linked to their perceived capability and frequency of engagement in health-promoting activities. Raising awareness to the experience of mothers of children with challenges in sensory processing may help bring to attention the importance of enhancing mothers' engagement in health-promoting activities. Mothering a child with difficulties in sensory processing can influence parents' emotional states and sense of competence, affecting how mothers take part in activities that support their health and quality of life. In this study, 70 mothers of children aged 3-8, with and without difficulties in sensory processing, were asked about how often they participate in activities that promote their health, their experiences, and about their quality of life. The mothers of children with difficulties in sensory processing felt less confident in their abilities and did fewer activities that support their health. Also, in all the mothers, their quality of life was related to how competent they feel and how often they performed these types of activities. This shows how important it is to support mothers of children with sensory processing difficulties helping them feel confident and join in activities that support their health. It is a reminder that family-focussed intervention is key to making sure mothers are doing well too.

Implementation of the Plavon Program in Population Administration Services

Background: The increasing reliance on technology in public service delivery has led local governments to adopt e-government systems. Specific Background: This study explores the implementation of the PLAVON e-government program in a rural context, addressing the operationalization of such systems in local governance. Knowledge Gap: Existing research highlights e-government frameworks, yet the challenges and successes of community-level implementation remain underexplored. Aims: This research aims to analyze PLAVON's implementation, focusing on standard operating procedures (SOPs) and community engagement. Results: Findings reveal that structured SOPs enhance efficiency and transparency in public services, enabling self-service for citizens. Novelty: This study offers insights into the challenges and strategies of rural e-government implementation. Implications: Results underscore the importance of tailored bureaucratic practices and community involvement, providing valuable lessons for similar programs in rural areas. Highlights : Efficiency: Structured SOPs enhance the efficiency of public service delivery. Transparency: Clear procedures foster transparency in administrative processes. Community Involvement: Active participation of local citizens is crucial for successful implementation. Keywords: E-Government, PLAVON, SOP, Community Engagement, Rural Implementation

Experiential value and environmentally responsible behavioral intention in rock-climbing tourism: The role of place attachment and biospheric value

With increasing emphasis on environmental issues in outdoor leisure tourism, understanding the environmentally responsible behavioral intention (ERBI) of tourists is crucial to sustainable development. We explored the novel chain-mediating effect of experiential value on ERBI through place attachment and biospheric value among 300 recreational climbers in Yangshuo County, Guilin City. Using confirmatory factor analysis (CFA) and structural equation modeling (SEM), we found that the experiential value of climbing resorts had a direct effect on place attachment and biospheric value. Experiential value and place attachment had a moderate effect on ERBI, while biospheric value had a positive effect on ERBI. However, experiential value and place attachment indirectly influenced ERBI through the mediating effect of biospheric value. Finally, experiential value indirectly affected ERBI via the chain-mediating effects of place attachment and biospheric value. These findings extend existing theoretical frameworks by elucidating previously underexplored chain-mediation relationships. Practical insights derived from this study include strategies for enhancing the management and environmental protection of rock-climbing resorts. These strategies should focus on deepening the emotional connection between recreational climbers and the environment through innovative marketing approaches that emphasize tailored environmental protection activities, community involvement, and sustainable tourism practices. Management implicationsThe findings suggest three innovative strategies, building on existing practices, to foster sustainable tourism in rock-climbing resorts by connecting tourists with the environment. First, immersive programs such as ecotourism, wildlife observation, and multimedia experiences would enhance experiential value. These programs can promote environmentally responsible behavior by actively engaging tourists in environmental education and encouraging deeper interactions with nature, fostering place attachment and biospheric values. Second, content marketing, including storytelling and environmental campaigns that emphasize the ecological significance of rock-climbing resorts could position them as advocates for environmental conservation, especially ecosystem and biodiversity preservation. Third, personalized marketing can strengthen place attachment. Tourists could share personal photos on social media and receive symbolic rewards, such as sustainable tourism certificates. These strategies will actively engage tourists in environmental conservation and sustainable tourism efforts, foster long-term participation, and enhance the unique appeal of resorts as leaders in eco-friendly tourism. Management implicationsThe findings suggest three innovative strategies, building on existing practices, to foster sustainable tourism in rock-climbing resorts by connecting tourists with the environment. First, immersive programs such as ecotourism, wildlife observation, and multimedia experiences would enhance experiential value. These programs can promote environmentally responsible behavior by actively engaging tourists in environmental education and encouraging deeper interactions with nature, fostering place attachment and biospheric values. Second, content marketing, including storytelling and environmental campaigns that emphasize the ecological significance of rock-climbing resorts could position them as advocates for environmental conservation, especially ecosystem and biodiversity preservation. Third, personalized marketing can strengthen place attachment. Tourists could share personal photos on social media and receive symbolic rewards, such as sustainable tourism certificates. These strategies will actively engage tourists in environmental conservation and sustainable tourism efforts, foster long-term participation, and enhance the unique appeal of resorts as leaders in eco-friendly tourism.

Occupational performance patterns in children with paediatric acute-onset neuropsychiatric syndrome.

Paediatric acute-onset neuropsychiatric syndrome (PANS) is a neuroimmune condition characterised by episodic exacerbations and remissions. This study investigates the impact of PANS on children's occupational performance during these phases, using the Vineland Adaptive Behaviour Scale (VABS). Understanding these variations is crucial for developing tailored interventions and managing the condition effectively. A two-period bidirectional case-crossover design was employed to assess occupational performance in children with PANS at exacerbation (T-E) and remission (T-R) phases. Parents of children aged 4.6-13.1years with PANS were recruited globally, with data collected via online surveys and monthly updates. The VABS evaluated occupational performance, with analysis using linear mixed models and Least Squares Means (LSMeans) for accurate representation. Data from 27 participants showed significantly lower scores in the Adaptive Behaviour Composite and socialisation domain of the VABS at T-E compared with T-R, indicating a decline in occupational performance and social skills during exacerbations. During remission, participants demonstrated typical performance across all domains. The study highlights a marked decline in occupational performance and socialisation during PANS exacerbations, with improvements to typical levels during remission. These findings emphasise the need for targeted interventions to address occupational and social challenges in children with PANS during exacerbations, underscoring the episodic nature of the condition and the risk of misinterpreting behaviours if assessed during exacerbations. Multidisciplinary allied health support may benefit children with PANS. Although there was no direct consumer and community involvement, two researchers on our team have family members with PANS. Their personal experiences provided vital insights into the challenges faced by children with PANS, deeply influencing our study's design, focus, and interpretation, ensuring it reflects the realities of those affected. Our study looked at how PANS affects the things children do in their daily lives. We asked parents of children ages 4.6-13.1years old to complete surveys measuring this at two times: once during a symptom flare-up and once during a period of wellness. Our results showed that during symptom flare-ups, children's social skills and general ability to do daily tasks were much lower compared with periods of wellness. When children were well, their abilities were similar to those of typically developing children of the same age. This highlights the need for occupational therapy during flare-ups to help improve the lives of children with PANS.