Community Mobility Research Articles

Is lateral external perturbation training more beneficial for protective stepping responses than voluntary stepping training in stroke? A pilot randomized control study

The study examined whether lateral perturbation training could improve stepping performance and balance in individuals post-stroke. Thirty-one participants with hemiparesis were randomly allocated to PERT (external perturbation) or VOL (voluntary stepping) step training. The PERT and VOL group consisted of 80 step trials predominantly in the lateral direction, with a small proportion of steps in the anterior/posterior direction. Outcome measures based on step type (medial and lateral) included step initiation time, step length, step clearance, step velocity during an induced waist pull perturbation and voluntary step, and clinical balance assessments. The PERT group initiated a lateral step faster with the non-paretic leg during the induced waist pull perturbation step (P = 0.044) than the VOL group after training. Both groups improved the non-paretic step length and step velocity during lateral steps. During the voluntary steps, the PERT group significantly initiated a voluntary step faster. No significant changes were observed in the paretic leg. Both groups significantly improved on the Community Balance & Mobility Scale and Activities Specific Balance Confidence Scale. Overall, we demonstrated that an exercise to improve stepping performance with external perturbations might provide more benefits in protective stepping responses than training with voluntary steps for individuals with a stroke.

Performance of indicators used in regular risk assessments for COVID-19 in association with contextual factors.

This study aimed to summarize the results of coronavirus disease 2019 (COVID-19) risk assessments and to examine the associations between risk levels and various indicators, including COVID-19 incidence, risk perception, community mobility, and government policy. The results of the risk assessment and the indicators utilized were summarized. From November 2021 to May 2022, the COVID-19 risk level was evaluated on a weekly basis, and its correlation with these indicators was analyzed. Data were obtained from press releases by the Korea Disease Control and Prevention Agency, regular surveys conducted by Hankook Research, and information available on the Google and Oxford websites. Weekly risk assessments were conducted for 30 weeks, using different indices depending on the phases. Correlation analysis revealed the strongest positive correlation between risk level and risk perception (r=0.841). The risk level from "1-week lead" demonstrated a strong positive correlation with the time-varying reproduction number (Rt). Similarly, the risk level from "week lagged value" showed a strong positive correlation with the number of severe cases in the hospital. At the time of risk assessment, the Rt precedes the risk level, while severe cases in hospitals follow. Therefore, the assessed risk level functioned as an early warning system. Risk perception demonstrated the strongest correlation with the risk level, suggesting consistency throughout the assessment period. Contextual indicators (e.g., risk perception) that consider time lags and implementation scales, could improve the evaluation of future risk assessment results, particularly when there are challenges in reflecting specific situations in coordinated emergency response.

Urban Development Together with Girls and Young Women

Public spaces are crucial to everyday life, providing sites for community interaction, mobility, and recreation. Traditionally, however, urban planning has been shaped by a gendered perspective that privileges masculine assumptions that overlook intersectional needs and reinforce societal inequalities for women and girls. This special issue, ‘Let Her Guide You’, developed in partnership with UN-Habitat as part of the Her City initiative, underscores the imperative of incorporating gender and youth perspectives into urban planning and design. The Her City Initiative, a collaboration between UN-Habitat and the Shared City Foundation, advances this goal by equipping urban actors worldwide with tools to integrate the perspectives of girls and young women into urban development. Launched in 2021, the Her City Toolbox has supported over 350 independent initiatives with registered users in 120 countries, demonstrating its effectiveness in fostering inclusive urban environments. This special issue features papers by young academic scholars selected from the Her City Master students alumni network, including case studies of feminist planning from Heerlen (The Netherlands), Nairobi (Kenya), Stockholm (Sweden), and Weimar (Germany). It also includes a diverse range of invited viewpoints advocating for collaborative approaches to urban development together with girls and young women, complemented by illustrative case studies from around the globe, including Belgium, Iran, Italy, Jamaica, Mozambique, Palestine, Peru, South Africa, Sweden, Thailand, Uganda, and the United Kingdom. By centring gender and youth perspectives in the urban planning process, this special issue highlights the potential to transform public spaces into more equitable, engaging, and sustainable environments. It calls on city makers, researchers, and community leaders to ensure that contemporary cities are designed with and for everyone.

Differences in Changes of Mobility Patterns Across the Globe—Evidence From a Natural Experiment

ABSTRACTThe impact of population mobility and transportation choices on the environment is significant. Sustainable mobility policies require an understanding of evolving mobility patterns. This study examines global mobility variations across countries using COVID‐19 Community Mobility Reports. Employing the k‐medoids algorithm and Dynamic Time Warping, we analyzed mobility dynamics. Results reveal diverse changes in population mobility. Around 52 Global North countries exhibit approximately 10% reduction in professional activity‐related traffic post‐COVID‐19. Regarding urban green space mobility, only 29 countries exhibit strong seasonality, with summer traffic in the northern hemisphere peaking at about 150% higher than winter traffic. Three groups of countries are identified concerning public transport mobility: returning to pre‐pandemic levels, experiencing a 25% increase, and nearly doubling from pre‐pandemic levels. This underscores the key determinants for sustainable mobility policy implementation. Fifteen highly developed countries share similar mobility patterns across six areas studied, facilitating the exchange of sustainable mobility solutions and best practices. This research underscores the importance of understanding and addressing evolving mobility patterns for effective environmental policy planning.

Development of the iManage SCD mobile health application for transition

ObjectiveThis paper outlines the design and implementation of iManage SCD, a self-management mobile health application for adolescents and young adults (AYA) with sickle cell disease (SCD) during transition from pediatric to adult health care. MethodsThe Integrate, Design, Assess, Share (IDEAS) framework, emphasizing user insights, iterative design, rigorous assessment, and knowledge sharing, guided the development process. The design team consisted of researchers, psychologists, physicians, social workers, AYA with SCD, and parents of AYA with SCD (n = 16) across three states. Qualitative focus groups and interviews were conducted and analyzed using thematic analysis across the integrate and design phases. Point of use feedback from AYA with SCD was used to assess feasibility and acceptability. ResultsThe development process was centered around tenants of the Social-ecological Model of Adolescent and Young Adult Readiness to Transition. Development integrated multidisciplinary perspectives, fostering a person-centered approach. The iterative design process involved collaboration with a digital health firm, Agency39A. Health equity and implementation considerations were addressed at individual, community, and healthcare system levels. Themes that emerged from focus groups with AYA, clinicians, and researchers in the integrate and design phases of development included recommendations for content and user experience features. ConclusionsiManage SCD emerges as a comprehensive, user-friendly mobile health application, incorporating theoretical principles and direct user input. The development process demonstrated feasibility and acceptability, and the paper discusses dissemination strategies for the Community Health Workers and Mobile Health Programs to Help Young Adults with SCD Transition to Using Adult Healthcare Services (COMETS) study.

Holistic Sensor-Based Approach for Assessing Community Mobility and Participation of Manual Wheelchair Users in the Real World

Holistic Sensor-Based Approach for Assessing Community Mobility and Participation of Manual Wheelchair Users in the Real World

Outcomes from a Driving and Community Mobility Intervention Designed for Novice Drivers with Autism from the Perspective of the Participants and Their Parents.

To examine change in driving and community mobility outcomes for teens and young adults with autism as a result of participating in an occupational therapy intervention designed as a Bootcamp as perceived by the participants and their parents. Matched questionnaires were completed by novice drivers with autism as well as their parents prior to and immediately after the intervention. The intervention consisted of a 5-day (32h) intervention using interactive driving simulators, role playing, and highly interactive learning experiences. Sixty-seven participants and their parents completed the pre and post surveys. Of these, 52 (80%) were male and 13 (20%) were female, with a mean age of 17.8 ± 3.03 years. Wilcoxon signed rank tests was used for the Likert scale questions and paired t test for ratio level data. Results demonstrated participants perceived significant improvement in knowledge, skills and abilities related to both driving and community mobility. There were also significant differences in perception from the parents' perspective, but not as evident as the participants. Only a few significant changes were perceived in terms of executive functioning, which support accuracy of the results. Findings also showed significantly improvement in anxiety and confidence.As driving and community mobility is critical for young adults with autism to be successful in adult roles, intervention for improving knowledge, skills, and abilities in this complex daily task is essential. This study demonstrates statistically significant outcomes of a driving and community mobility occupational therapy intervention from the perspective of the participants and their parents.

Meeting People Where They Are in the Fight Against COVID-19 and Its Complications.

The COVID-19 pandemic exacerbated socioeconomic and racial disparities. Because of the institution's commitment to health equity, Morehouse School of Medicine, one of four Historically Black College and University (HBCU) medical schools, took the leadership role in addressing disparities by becoming a community vaccination provider. With vaccines registered, ordered, and received from the Georgia Department of Public Health through the mobile community vaccine initiative, the Medical School vaccinated more than 2700 people in the metropolitan Atlanta area. The initiative took place from January 2021, shortly after the COVID-19 vaccines were initially released, until April 2022 when vaccinations became part of routine health maintenance and preventive health measures at the school. Eighty-six percent of the individuals vaccinated were African American or Hispanic/Latino. Our efforts highlighted the importance of addressing vaccine access barriers and providing culturally sensitive care. (Am J Public Health. Published online ahead of print October 15, 2024:e1-e4. https://doi.org/10.2105/AJPH.2024.307768).

Do facilitators and barriers to community ambulation differ among stroke survivors in low resource settings? A cross-sectional study in Nigeria

ABSTRACT Purpose Stroke survivors (SSV) in many low- and middle-income countries experience frustrating participation restriction in community ambulation (CA), which impedes community life. This study assessed facilitators and barriers to CA among community-dwelling SSV in a southwest state of Nigeria. Methods This cross-sectional study involved 66 community-dwelling ambulating SSV, purposively recruited from physiotherapy out-patient clinics of selected hospitals in southwest Nigeria. Semi-structured questionnaire containing physical and social environment elements of the ICF domains was administered on respondents. Mobility status at home and community, socio-demographic and clinical data of SSV were also obtained. Responses from open-ended questions were triangulated with appropriate close ended options. Data were analyzed using descriptive statistics and logistic regression at p < 0.05 Alpha value. Results Majority of the SSV were independent in their homes (59.1%), used mobility aids (87.9%) and assisted in CA (66.7%). They identified limited physical accessibility by crowds 25 (37.9%), lack of inclined surfaces 40 (95.2%), uneven floors 36 (87.8%), public seating arrangements 33 (78.6%), rain (73.8%) and inability to use services, systems and policies (77.3%) as barriers to CA. Built physical environment was a significant predictor of home (OR = 0.754, p = 0.001) and community mobility (OR = 0.850; p = 0.018), while post-stroke depression was a significant predictor of community mobility (OR = 1.038; p = 0.014). Conclusion Mobility aids, social attitudes and general support were identified as facilitators, whereas barriers to CA included built physical environment, services and policies, products and technology. Facilitators and barriers to CA are similar to some HIC contexts, perceived difficulties and experiences differ for infrastructural and social reasons among others.

Directional switching behavior of swarming systems with social and nonlinear interactions

Coordinated directional switching can occur among members of many mobile biological communities. Some studies show that self-propelled particle models can describe the directional switching behavior well. The key to understanding group movement is to determine the influential factors relevant to directional switching behavior. This paper focuses on the impact of social and nonlinear interactions on the directional switching behavior observed in swarming systems. In which, the nonlinear interaction is represented as a function of a trade-off between the velocity and velocity direction of its neighbors. Based on the framework of dimension reduction theory, the high-dimensional complex model is simplified into a one-dimensional simple model, and the stationary probability density and mean switching time are obtained by theoretical analysis of the one-dimensional model. It can be seen that social and nonlinear interactions play an important role in regulating the directional switching behaviors of swarming systems. Specifically, the increase of group density and nonlinear parameter can inhibit the directional switches. For Erdös-Rényi networks, the large mean degree can suppress the directional switching behavior. For scale-free networks, increasing the degree heterogeneity can reduce the mean switching time. The results reveal the underlying mechanisms by which social and nonlinear interactions influence the directional switching behaviors of swarming systems, and provide a theoretical foundation for the design of bio-inspired devices with specific functions.

A Grounded Theory Study to Explain Barriers, Promotors, and Adaptive Actions When Older Adults with Chronic Conditions Move in Community

Purpose The purpose of the present study was to construct a substantial theory that can systematically deal with barriers, promotors, and adaptive actions when older adults with chronic conditions move in a community. Methods The present study is qualitative research based on grounded theory methodology. We recruited participants in 2 day-service facilities and one nursing station, and selected participants according to principle of theoretical sampling. Results We included sixteen participants. We have constructed a theory including eight categories. The core category of the theory was “the set of primary indicators in community mobility” This core category is related to difficulty, comfortability, and safety when persons move in a community, and consists of four elements: difficulty of general actions, degree of psychological burden, degree of accumulated fatigue, and probability of accidents. Conclusion The theory integrated around the core category could provide a way of thinking for clinical practice.

CUREMA project: a further step towards malaria elimination among hard-to-reach and mobile populations

BackgroundIn most countries engaged on the last mile towards malaria elimination, residual transmission mainly persists among vulnerable populations represented by isolated and mobile (often cross-border) communities. These populations are sometimes involved in informal or even illegal activities. In regions with Plasmodium vivax transmission, the specific biology of this parasite poses additional difficulties related to the need for a radical treatment against hypnozoites to prevent relapses. Among hard-to-reach communities, case management, a pillar of elimination strategy, is deficient: acute malaria attacks often occur in remote areas, where there is limited access to care, and drugs acquired outside formal healthcare are often inadequately used for treatment, which typically does not include radical treatment against P. vivax. For these reasons, P. vivax circulation among these communities represents one of the main challenges for malaria elimination in many non-African countries. The objective of this article is to describe the protocol of the CUREMA study, which aims to meet the challenge of targeting malaria in hard-to-reach populations with a focus on P. vivax.ResultsCUREMA is a multi-centre, international public health intervention research project. The study population is represented by persons involved in artisanal and small-scale gold mining who are active and mobile in the Guiana Shield, deep inside the Amazon Forest. The CUREMA project includes a complex intervention composed of a package of actions: (1) health education activities; (2) targeted administration of treatment against P. vivax after screening against G6PD deficiency to asymptomatic persons considered at risk of silently carrying the parasite; (3) distribution of a self-testing and self-treatment kit (malakit) associated with user training for self-management of malaria symptoms occurring while in extreme isolation. These actions are offered by community health workers at settlements and neighbourhoods (often cross-border) that represent transit and logistic bases of gold miners. The study relies on hybrid design, aiming to evaluate both the effectiveness of the intervention on malaria transmission with a pre/post quasi-experimental design, and its implementation with a mixed methods approach.ConclusionsThe purpose of this study is to experiment an intervention that addresses both Plasmodium falciparum and P. vivax malaria elimination in a mobile and isolated population and to produce results that can be transferred to many contexts facing the same challenges around the world.

Design of Municipal Transport Vehicles in Bali Province

Urban transport involves the movement of people and goods from one place to another using public vehicles, which can be either motorised or non-motorised. The presence of urban transport is crucial for supporting community mobility and can reduce the reliance on private vehicles. Ideally, urban transport should ensure both safety and comfort for drivers and passengers. However, in reality, safety and comfort are often inadequate. Issues such as overcrowded seating due to non-compliant designs, awkward entry and exit points that pose risks to passengers, lack of dedicated seating for disabled individuals, and absence of seat belts on all seats contribute to the problem. Moreover, many accidents involving urban transport are caused by the poor condition of the vehicles. Given these issues, this study is titled "Design of Urban Transport Vehicles in Bali Province." The research aims to analyse the current problems faced by urban transport systems. The goal is to develop a vehicle design that can restore the image of public transportation in Indonesia, particularly for urban transport or public minibus (angkot), and enhance safety, especially in Bali Province.

Optimization and Innovation of the Operation Model of Mobile Social E-commerce under AI Empowerment: Taking the Female Community Platform “Little Red Book” as an Example

This article takes the female community platform “Little Red Book” as an example to explore the optimization and innovation of mobile community e-commerce operation mode under Artificial Intelligence (AI) empowerment. Firstly, the relevant concepts were defined, and then the unique attributes of mobile community e-commerce were analyzed. As a typical representative of mobile community e-commerce, Little Red Book introduces the background and characteristics of its platform, analyzes its mobile community operation mode, and focuses on exploring how to establish a mobile community e-commerce platform and effective operation mode under the empowerment of AI technology, to provide some reference and inspiration for the development and operation of Little Red Book and other e-commerce platform enterprises.

Implementation of Value Engineering For Optimization of Road Reconstruction Project Financing Case Study: Cibadak – Padasuka Road Section Project, Lebak Regency, Banten Province

Road reconstruction is one of the important infrastructure projects in supporting economic growth and community mobility. However, such projects are often faced with budget constraints, which require the application of effective methods for cost management. One method that can be used is Value Engineering (VE), which aims to optimize costs without reducing the quality or function of the project. This study focuses on the implementation of VE in the Cibadak - Padasuka road reconstruction project in Lebak Regency, Banten. The study was conducted through an analysis of several project components that have the potential to be optimized, using methods such as Pareto analysis, and Life Cycle Cost (LCC) analysis. The results of the study indicate that 1. The work item that is the subject of Value Engineering study in this study is Road Paving work; 2. The Value Engineering study obtained 3 alternatives, namely the Rigid Pavement Method PPCP, SPRigWP &amp; Flexible Pavement; 3. The construction cost value of Value Engineering is: • Alternative 1 PPCP Method against alternative 0 (Conventional Concrete/Cast In Situ) experienced an increase in construction costs of Rp. 324,545,518.51 or 3.30%, • Alternative 2 SPRigWP Method against alternative 0 (Conventional Concrete/Cast In Situ) experienced an increase in construction costs of Rp. 2,693,845,581.45,- or 30.75%, • Alternative 3 Flexible Pavement compared to alternative 0 (Conventional Concrete/Cast In Situ) experienced a decrease in construction cost of Rp. 1,368,807,868.21, or 15.63%; 4. The Life Cycle Cost (LCC) value from Value Engineering is: • Alternative 1 PPCP Method compared to alternative 0 (Conventional Concrete/Cast In Situ) experienced a decrease in Life Cycle Cost (LCC) of Rp. 1,020,655,389.33,- or 9.55%, • Alternative 2 SPRigWP Method against alternative 0 (Conventional Concrete/Cast In Situ) experienced an increase in Life Cycle Cost (LCC) of Rp. 1,375,850,167.98 or 12.87%, • Alternative 3 Flexible Pavement against alternative 0 ( Conventional Concrete/Cast In Situ) experienced an increase in Life Cycle Cost (LCC) of Rp. 10,697,757,430.34 or 100.07%. So that in the study conducted on the Cibadak - Padasuka Road Reconstruction Project, Warunggunung District, Lebak Regency, Banten Province Alternative 1 Precast Prestressed Concrete Pavement (PPCP) Rigid Pavement Method is the recommendation with the lowest LCC value.This research is expected to provide practical recommendations that can be applied to similar projects in the future, as well as contributing to the development of science in the field of civil engineering and project management.

Introduction] Mobility, Transnational Networks and (Im)mobile Communities

Introduction] Mobility, Transnational Networks and (Im)mobile Communities

DIFFERENCES IN FIRM FINANCIAL PERFORMANCE BEFORE AND DURING THE COVID-19: A STUDY ON FNB SECTOR

&lt;p&gt;&lt;strong&gt;Background&lt;/strong&gt;: Covid-19 has had a major impact on the global economy, including in Indonesia. One of the most notable impacts has been felt by food and beverage firm. Indonesia government gives more attention for this sector due to its importance for public needs. This research is used to obtain the difference ROA ratio before and during Covid -19 period using statistical approach. This approach was chosen for finding is there a significant differences firm performance between before and during Covid-19 period.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective&lt;/strong&gt;: This approach was chosen for finding is there a significant differences firm performance between before and during Covid -19 period and analyze the differences.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research Methodology&lt;/strong&gt;: Paired test approach for this research uses non-parametric Wilcoxon Ranks test by measuring return on assets (ROA). The population in this research were all firm operating in food an beverages sector from 2018-2021 which were listed on Indonesia for four consecutive years by classifying these four years in to before (2018-2019) and during Covid-19 (2020-2021).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Research Findings&lt;/strong&gt;: This research gained significantly different firm performance between before and during Covid-19. Wilcoxon Rank test performing this research gained a significant value 0.001&amp;lt;0.05. This difference is because the firm's ROA level tends to decline and suffer losses, the effect of implementing Perlakuan Pembatasan Kegiatan Masyarakat (PPKM) which seeks to reduce transmission through community mobility.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Originality/Novelty of Research&lt;/strong&gt;: This research provides a difference in firm financial performance with extended period data over two years before (2018-2019) and two years during Covid-19 (2020-2021).&lt;/p&gt;

Visa-on-arrival, ECOWAS-free Mobility and the Securitisation of the Intra-African Migration in Nigeria

Over the years, Nigeria’s regional hegemonic leadership in (West) Africa, especially within the Economic Community of West African States (ECOWAS) region, has been debated within academic and foreign relations circles. A major component of this regional leadership aspiration was its quest for a ‘borderless Africa’. As an important arrowhead of its pro-African foreign policy, the Nigerian government proactively crafted a benign national border policy to give practical expression to the free mobility of persons and goods within the West African subregion. Despite a demonstrable commitment to free mobility within Africa over the years, Abuja suddenly imposed a restrictive border policy shortly after it signed the African Continental Free Trade Area (AfCFTA) agreement and approved the contentious visa-on-arrival for African migrants. Considering this context, this study makes three arguments: First, it interrogates the rationale behind the liberal border diplomacy of the Nigerian government. Secondly, the paper contends that the inability to ‘silence the guns’ in Africa despite all efforts has seriously militated against the aspiration for intra-African mobility and borderless Community in West Africa. Lastly, the study examines the dire implications of Nigerian nationalistic border diplomacy and its declining soft power for the future of ‘borderless West Africa’.

Relationship between GPS-based community mobility data and orthopedic trauma admissions during the COVID-19 pandemic in Austria: amulticenter analysis.

The main objective of this study was to examine the relationship between mobility patterns during the coronavirus disease 2019 (COVID-19) pandemic and orthopedic trauma patients in Austria. Utilizing global positioning system (GPS)-based mobility data, the attempt was to assess both the impact of COVID-19 lockdowns on reducing orthopedic trauma patients and the degree of compliance to the imposed movement restrictions. This retrospective analysis included all patients (283,501) treated at 3 major levelI trauma centers in Austria. Analyzed time periods were 1 January 2019 to 8 February 2021. Freely available GPS-based mobility data from Google and Apple Inc. was gathered. Amoderate to strong correlation between the cumulative average outpatients and the assessed mobility index was observed for all cities (Google: r = 0.70 p < 0.001, 95% confidence interval, CI: 0.67-0.73; Apple: r = 0.64 p < 0.001, 95% CI: 0.61-0.67). Asignificant linear regression equation was found for Vienna (adjusted r2 = 0.48; F(1, 350) = 328,05; p < 0.01). During the first lockdown there was adrastic decline in mobility (up to -75.36%) and in numbers of orthopedic trauma outpatients (up to -64%, from 153 patients/day 2019 to 55patients/day 2020) in comparison to the prepandemic era. The decline diminished as time passed. Analyses of GPS-based mobility patterns show acorrelation with trauma patient numbers. These findings can be used to develop prediction models, leading to better resource planning and public health policy, enhancing patient care and cost-effectiveness, especially in the event of future pandemics. Furthermore, the results suggest that compliance to mobility restrictions decreased over time during the COVID-19 pandemic, resulting in increased mobility and trauma patients.

Contribution of dual-tasking to social participation in persons with multiple sclerosis: A structural equation modeling approach

IntroductionThis study aimed to explore the patterns of association between dual-tasking, cognition, ambulation disability, fatigue, and self-efficacy and their pathways in predicting social participation in persons with multiple sclerosis (MS). MethodsAdults with MS (n = 1162) completed an online survey. Social participation was assessed by the Quality of Life in Neurological Disorders. The Dual-task Impact on Daily-Living Activities Questionnaire, Multiple Sclerosis Walking Scale-12v2, and Modified Fatigue Impact Scale measured dual-tasking, ambulation, and fatigue, respectively. Fall Efficacy Scale-International and Self-Efficacy for Community Mobility were assessed and modeled as a latent variable for efficacy. ResultsThe correlation matrix showed significant associations of social participation with dual-tasking, cognition, ambulation, efficacy, and fatigue (all p < 0.001) and interrelationships among the independent variables (p < 0.05). The final model showed excellent global model fit (CFI = 0.99, TLI = 0.96), with all variables significantly predicting social participation either directly or indirectly. Efficacy significantly mediated the effects of dual-tasking (β=-0.32, p < 0.001) and ambulation disability (β=-0.42, p < 0.001) on social participation. ConclusionThis study indicated that dual-tasking, ambulation disability, fatigue, and efficacy play important roles in social participation in persons with MS. The findings can help provide insight into factors that may underpin social participation and offer targets for interventions in persons with MS.