ABSTRACT University students require resilience to adapt to challenges and transitions. Using a pre/posttest design, this study examined the impact of a one-time music therapy intervention on resilience and affect in 36 undergraduates, comparing continuing students with final-year students. Before and after a one-time group music therapy session, students completed the Connor-Davidson Resilience Scale and the Positive Affect Negative Affect Schedule. Results found a significant increase in resilience and positive affect, along with a decrease in negative affect following the music intervention. This pretest/posttest design provides important knowledge on the intersections of resilience, undergraduate students, and music therapy. Implications for best practices in supporting university student mental health with practical, engaging, and meaningful tools, such as music therapy, are discussed.

ABSTRACT The American public has, over the last decade, experienced a social reckoning with policing and the relationship between law enforcement and their communities has changed dramatically as a result. The current study presents results from ethnographic field observations of a de-escalation training program and 15 semi-structured interviews with law enforcement who recently received the training. These analyses present the first application of the theory of defensive othering to policing, finding that officers engage in cognitive coping strategies to separate themselves from high-profile instances of misconduct and nationwide calls for reform. Officers utilize several separation techniques to remove themselves from the image of bad policing and in doing so, support training programs and new practices without acknowledging a broader, systemic problem. The practical and managerial implications for policing organizations and training efforts are also explored in the context of a rapidly changing profession and national calls for reform.

Purpose This study aims to develop a hybrid model integrating the decision-making trial and evaluation laboratory (DEMATEL) method and System Dynamics (SD) to analyze how green variables (green training, environmental awareness and green practice adoption) enhance human resource capabilities (HRCs). By identifying causal relationships among ten key human resource (HR) factors and simulating their dynamic interactions, the research provides insights into strengthening organizational sustainability. The model offers a strategic framework for policymakers and managers to align HR development with environmental objectives and build adaptive, resilient workforces. Design/methodology/approach This study used an integrated framework combining the DEMATEL and SD. Expert assessments from industrial specialists were collected to identify and analyze causal relationships among key HR capability factors. These relationships were then incorporated into a SD model to simulate long-term behaviors under multiple green scenarios, enabling both static and dynamic evaluation of human resource capabilities in sustainable industrial contexts. Findings The results reveal that green training, environmental awareness and the adoption of green practices significantly enhance critical Human Resource Capabilities, particularly adaptability, professionalism, safety awareness and responsibility. These factors not only improve individual competencies but also generate reinforcing feedback loops within the organizational system. The dynamic simulations further show that combined green interventions accelerate capability growth, promoting long-term organizational resilience, innovation and alignment with sustainability objectives in industrial environments. Research limitations/implications This research primarily relies on simulation data derived from expert assessments, which limits its external validity. Although sensitivity tests and scenario comparisons were performed, the absence of empirical organizational data constrains the generalizability of findings. Future studies should incorporate real-world data sets across diverse industries to validate the model, refine causal assumptions and explore additional HR and green variables for broader application in sustainable workforce management. Practical implications The study provides actionable insights for managers and policymakers by showing how green training, environmental awareness and eco-friendly practices can be systematically embedded into HR strategies. By adopting this integrated approach, organizations can enhance workforce adaptability, responsibility and professionalism while aligning HR policies with sustainability objectives. This framework supports long-term competitiveness, improved employee engagement and the development of resilient workforces capable of responding to dynamic environmental and industrial challenges. Social implications This study highlights how embedding green initiatives within HR practices fosters eco-friendly behaviors, ethical responsibility and social awareness among employees. By strengthening teamwork, professionalism and safety consciousness, organizations can create a culture that values environmental stewardship and collective resilience. Such practices not only contribute to reduced ecological impact but also enhance social sustainability, ensuring that industrial growth is aligned with broader societal well-being and long-term environmental responsibility. Originality/value The study offers a novel and replicable framework that systematically integrates human resource management practices with organizational sustainability goals, emphasizing feedback loops, continuous learning and adaptive strategies to enhance both employee performance and long-term environmental and social impact.

ABSTRACT Traumatic brain injury (TBI) is associated with an array of physical, psychological and social changes. Adopting positive coping mechanisms following a TBI is important in maximising recovery outcomes including psychological wellbeing and quality of life. Using grounded theory methodology, this study explored the lived experiences of individuals recovering from severe TBI and the development of coping strategies. The research responds to a recognised gap in survivor-centred literature by prioritising the voices of individuals living with the long-term consequences of TBI. Semi-structured interviews were conducted with eight participants who sustained severe TBIs, capturing rich qualitative data on the psychological, social and cognitive challenges encountered during recovery. Five interrelated factors emerged as critical to the development of coping strategies: Purpose, Management and Acceptance which were found to interact dynamically, with Support and Understanding determining to adoption of Effective TBI Coping. The resulting TBI Model of Coping offers a survivor-informed framework that provides new insights into recovery processes following severe TBI. This research highlights the importance of tailored psychological support and the need for interventions that consider the multifaceted nature of coping. The model has practical implications for neurorehabilitation services and contributes to the advancement of personalised care for TBI survivors.

Purpose This study offers transformation pathways through the intersections of enterprise governance and farming in response to climate and ecological crises (COP21, COP28 et al.). The analysis further proposes Virtuoso as a novel integration capability for the Viable System Model (“VSM”), Stafford Beer's systemic methodology for enterprise management (Beer, 1985; Jenkinson, 2022). It thereby contrasts farming models and their ways of seeing. Design/methodology/approach The interdisciplinary methodology synthesizes insights from five domains: epistemology, ecological paradigms, farming practices, the VSM theory and Virtuoso, an identity governance framework. Comparative case studies contrast two paradigmatic systems of intensive English farming: conventional “industrial-chemical” (“IC”) and “biodynamic regeneration” (“BD”). Interdisciplinary research, fieldwork, and participatory engagement explored the interrelation of system elements and regenerative potential (Shweder, 1999). Findings Farming has radically altered the planetary biosphere (Ellis et al., 2010). The IC model is a major contributor to global climate and biodiversity challenges through its degenerative cycle of soil degradation, input dependency, and declining resilience (Montgomery, 2017, 39–40, 80–81). BD demonstrates that economically sound, mitigation and regeneration is possible, exceeding UN COP21 soil organic carbon (“SOC”) targets, a key indicator of climate change (Gantlett, 2021, 2022, 2024, 2025). Virtuoso articulates their contrasting identities and operational logics, revealing latent potential for agriculture and the VSM. Research limitations/implications The interdisciplinary synthesis suggests fresh lines of academic research and practice in farming, the VSM, and Virtuoso. Given some novelty and interplay between multiple complex fields, each aspect could inevitably be expanded both theoretically and practically. Practical implications Advances the VSM and System 5 (“S5”) practice and capability. Outlines implications for government agricultural policy, positioning farming as a key agent of biodiversity regeneration and climate change requiring support for integrated transition pathways. Notes the rich capability of biodynamic farming. Social implications Global futures are dependent on farming and food systems; this comparative study explores the global significance of agritechnique over agritech. It offers scope for improved enterprise management and performance. Originality/value This study contributes to the novel synthesis of regenerative agriculture, cybernetic governance, and ecological epistemology as it introduces novel VSM system capabilities and biologically intensive farming, each of significant ecosystem potential.

Purpose This study provides a comprehensive scientometric analysis of publication trends and thematic evolution in behavioral finance, spanning four decades (1984–2024). It aims to map the intellectual structure, identify key thematic shifts and analyze the impact of 7,053 Scopus-indexed journal articles. Design/methodology/approach A comprehensive bibliometric analysis was conducted using RStudio (bibliometrix) and VOSviewer. The methodology analyzed publication volume, citation impact, co-citation networks and co-word mapping to objectively visualize the field's performance, influential entities and conceptual clusters. Findings The analysis reveals an exponential growth in the number of publications and a corresponding increase in citation impact over the period. A significant finding is an interdisciplinary shift, evidenced by the high volume of research published in sustainability-oriented outlets such as the Journal of Cleaner Production, as well as by the emergence of financial literacy as a central theme. Traditional core areas, including decision-making, risk assessment and overconfidence, remain foundational. Research limitations/implications The study is limited to Scopus-indexed journal articles. It provides a foundation for future qualitative studies on influential themes and proposes new quantitative research avenues in algorithmic behavioral finance and cross-cultural biases. Practical implications The findings guide policymakers and practitioners in designing behaviorally informed interventions, such as using nudge theory to enhance investor protection and developing tailored financial education programs. Social implications Potential outcomes include improved financial decision-making, greater financial literacy and the promotion of responsible investment practices. Originality/value This study offers a data-driven, comprehensive roadmap of the field by defining its intellectual core and providing a unique analytical explanation for the rise of sustainable behavioral finance in the academic literature, thereby challenging conventional assumptions about research outlets.

Obsolescence management is pivotal in ensuring a continuous supply of products and services within a supply chain. Accurately forecasting the probability and timing of obsolescence is crucial for companies across the product lifecycle, from design and procurement to supplier selection. This issue is particularly pronounced in the defense industry, where systems are often procured in low volumes, tailored to specific requirements, and purchased irregularly. This study evaluates the accuracy of statistical methods for forecasting product obsolescence in scenarios with limited covariate predictors, using an operational data set. Results indicate that static binning offers more accurate forecasts at the part level. In contrast, dynamic binning is more robust against extreme forecast errors, particularly for larger bin sizes and when lifecycle forecasting is used. Moreover, bin size is a statistically significant factor in forecast accuracy, with greater accuracy at smaller bin sizes. However, when forecasting obsolescence risk, larger bin sizes are more advantageous for parts further along in their lifecycles, with performance further influenced by the probability of obsolescence. These findings have practical implications and provide a foundation for more reliable obsolescence predictions, enabling informed decisions regarding reactive, proactive, and strategic obsolescence management.

ABSTRACT Gender bias among US women tennis coaches, a significantly underrepresented group was examined. Leveraging frameworks on gender bias and systemic barriers for women coaches, a concurrent triangulation design was utilised to gain a more holistic and nuanced understanding of gender bias through a quantitative survey (N = 657) and an open-ended question. Results revealed that higher perceptions of gender bias, specifically lack of acknowledgement, male culture, lack of sponsorship, and glass cliff experiences, were significantly associated with lower job satisfaction. Lack of acknowledgement was a significant predictor of intention to leave coaching within 12 months. Qualitative findings reinforced the pervasive presence of six “glass walls” of gender bias across individual, interpersonal, organisational, and societal levels, embedded in a male-dominated culture. Notably, gender essentialism led women coaches to internalise societal stereotypes; while portraying “feminine” coaching styles as a professional strength, which can constrain career trajectories. Practical implications and future research are suggested.

This study aimed to identify risk factors for Helicobacter pylori (HP) infection in children with peptic ulcers and to examine the associated changes in blood routine indexes. A total of 173 children diagnosed with peptic ulcers in our hospital between January 2017 and January 2022 were included in the study. All participants underwent the 13C rapid urea breath test to detect HP infection. Additionally, routine blood tests were performed to analyze the blood routine indexes. A questionnaire was administered to collect data on hygiene habits and family income, which were then correlated with HP infection. The analysis revealed several significant findings. The following risk factors were identified as independent factors for HP infection in children with peptic ulcers: poor economic conditions (odds ratio [OR] = 2.54, 95% confidence interval [CI]: 1.36-4.72), small per capita living area (OR = 1.93, 95% CI: 1.12-3.34), the use of family-shared tableware (OR = 2.17, 95% CI: 1.25-3.77), poor parental hygiene habits (OR = 2.08, 95% CI: 1.19-3.63), and a family history of ulcer (OR = 1.89, 95% CI: 1.08-3.29). HP-positive patients exhibited significant differences in blood routine indexes compared to HP-negative patients. Specifically, they had lower RBC count (mean difference = -0.82, 95% CI: -1.45 to -0.19), lower Hb level (mean difference = -0.61, 95% CI: -1.12 to -0.10), lower HCT level (mean difference = -1.08, 95% CI: -1.82 to -0.35), and higher platelet count (mean difference = 36.72, 95% CI: 8.21-65.23). This study provides important insights into the risk factors associated with HP infection in children with peptic ulcers and highlights the changes in blood routine indexes that occur with the infection. The identified risk factors, including poor economic conditions, small living area, family-shared tableware, parental hygiene habits, and family history of ulcer, can guide preventive strategies and interventions for HP infection in children. The findings also emphasize the significance of age as a factor in HP infection rates. Moreover, the observed alterations in blood routine indexes indicate the impact of HP infection on immune function in affected children. This study contributes to the understanding of HP infection in children and offers valuable implications for clinical practice, enabling better prevention and control of HP infection in this vulnerable population. children with peptic ulcer, Helicobacter pylori, blood routine test, risk factors.

Purpose The effectiveness of switching barriers in deterring customer defection hinges on the psychological constraints they impose on customer decision-making; however, this underlying mechanism has received limited empirical attention. To address this gap, this study aims to investigate the psychological mechanism of anticipated regret in the relation between switching barriers and customer retention by examining both its mediating and moderating roles in deterring defection. Design/methodology/approach The authors investigate the influence of anticipated regret on switching barrier-based customer retention through two studies using a time-lagged, multiwave survey methodology that tracks both customers’ retention intention and actual behaviors. Findings The results indicate that customers’ anticipated regret not only mediates the relationship between switching barriers and retention intention but also moderates the association between retention intention and actual retention behavior. This inhibitive psychological mechanism provides additional explanatory power and offers a more comprehensive understanding of how switching barriers shape consumers’ retention decisions. Research limitations/implications Understanding customers’ diverse perspectives and the psychological mechanisms underlying their retention decisions is central to advancing service research. Addressing the significant gap in the customer retention literature, this study integrates anticipated regret into the established switching barrier–retention framework, enriching its theoretical foundation and opening new avenues for future research. Practical implications The findings reveal new marketing opportunities for enhancing service retention. Practitioners can strategically leverage anticipated regret in marketing communications, customer interactions and retention initiatives. By making potential future regret salient prior to customers’ final decisions, firms can prevent defection and retain customers who might otherwise exit. Social implications This research identifies how psychological inhibitors shape customer retention and underscores the importance of responsible practices that facilitate informed decision-making and value creation in customers’ best interests. Originality/value To the best of the authors’ knowledge, this study is among the first to examine the psychological mechanism of anticipated regret in switching barrier-based retention decisions. The authors theorize and empirically substantiate that, when evaluating the inhibitive obstacles that deter defection, consumers prioritize the avoidance of negative consequences arising from trade-offs and seek to minimize the likelihood of future regret over their eventual choice.

Purpose This study explores the soft skills mismatch among graduates of accounting programs and employer demands in Saudi Arabia, offering insights for the broader Arab context. Design/methodology/approach This study employed a questionnaire survey using a Likert scale format. The authors collect the data from 125 employers and 114 graduates to assess the skills gap, identify critical soft skills, and uncover acquisition barriers through the lens of Human Capital, Signaling and Social Cognitive theories theoretical framework Then, the data were analyzed using SPSS software. Findings Findings reveal a significant gap between the skills emphasized in accounting and those required by employers. Problem-solving, technical software proficiency, and communication emerged as critical soft skills. Key barriers include poor self-motivation, limited access to accounting tools, and high costs. Statistical analyses confirm alignment between employer and accounting graduates' perceptions. Practical implications This study offers practical recommendations for comprehensive reforms in accounting, including curriculum redesign and enhanced academia-industry collaboration, with implications for policymakers, educators and employers in evolving labor markets. Originality/value This study builds on the empirical evidence on soft skills development and contributes to the literature by minimizing the disconnect between the skills emphasized in accounting and those demanded by employers focusing on the context of the Saudi Arabian context.

Purpose This study examines the dual impact of artificial intelligence (AI) on business processes by systematically identifying and prioritizing both its value-creating benefits (bright-side) and risk-inducing consequences (dark-side). The study further aims to develop an integrated theoretical framework that explains how organizations can balance these opposing effects to achieve sustainable AI-driven business transformation. Design/methodology/approach A content-driven review of recent peer-reviewed literature was conducted to identify key positive and negative impacts of AI across five business process dimensions. Expert evaluations from 42 professionals were analyzed using the Fuzzy Technique for Order Preference by Similarity to Ideal Solution method to prioritize these impacts under uncertainty. Sensitivity analysis was performed to validate the robustness of the results, and an integrated theoretical framework was developed based on the empirical findings. Findings The results reveal that AI delivers its strongest benefits through enhanced financial risk forecasting, internal control, sustainability reporting and customer-facing automation, significantly improving operational efficiency and decision quality. However, the findings also highlight critical risks associated with inadequate governance, privacy invasion, ethical lapses and excessive reliance on automated systems. Governance-related risks emerged as the most severe challenges, indicating that the absence of robust ethical and regulatory frameworks can undermine the long-term value of AI adoption. Practical implications The study provides managers and policymakers with a structured decision-support approach to prioritize AI applications while proactively managing ethical, governance and data-related risks. Originality/value This research offers a novel integration of fuzzy multi-criteria decision analysis with theory development to present a balanced, data-driven understanding of AI's dual impact on business processes and organizational sustainability.

Purpose While climate change has caused catastrophic consequences for both human and non-human habitats in the Anthropocene era, its impacts are unevenly distributed across the globe. Existing global climate change policies, discourses and practices – promulgated and adopted worldwide – fail to account for the systemic structural, political, historical, cultural, social and economic inequalities between the Majority and Minority World. Inspired by the decolonization agenda, this paper aims to deconstruct the Western technocratic theorization of public sector climate accounting and accountability from a Majority World perspective. Design/methodology/approach Theoretically, the paper draws from a critical “climate justice” lens and Latour's (2017) concept of “Down to Earth” to critique the limitations of dominant scientific and technocratic approaches of public sector climate accounting and accountability, which have perpetuated socio-environmental injustice. It also advocates for a new climatic regime – “Terrestrial” – that offers an alternative politics which leads towards the earth. Empirically, the paper draws from three empirical narratives to illustrate how climate injustices materialize in practice in the Majority World. Findings The paper argues that meaningful climate accountability requires reimagining political orientations beyond Minority–Majority national frontiers and adopting a planetary ethic that restores humanity's relationship with the earth. It urges international agencies and Global South states to address climate injustice by implementing a practical climate accounting and accountability framework comprising: (1) prioritizing local resilience and adaptive capacity over mitigation-focused agendas; (2) resisting neo-colonial extractive practices and exploring commonwealth governance alternatives; (3) fostering communitarian, Indigenous-informed participation; (4) rejecting hierarchical, technocratic approaches; and (5) developing alternative contextually grounded practices sensitive to local socio-political, cultural and environmental realities. Research limitations/implications Future research on public sector accounting and accountability for climate change must move beyond descriptive assessments towards transformative frameworks addressing climate injustice in the Majority World. This includes examining the empirical application of novel climate accounting models above, theorizing the potential and limitations of accounting tools for adaptation, advancing participatory accountability practices, exploring alternative accounting possibilities and extending inquiry into commonwealth governance. Latour's ideas – especially the “new climatic regime”, the terrestrial approach and the empirical science of nature-as-process – also provide valuable avenues for reimagining how climate accounting can be theorized and enacted in practice. Practical implications The paper develops a practical climate accounting and accountability framework in and for the Majority World, encapsulating five key features: (1) prioritizing local resilience and adaptive capacity over mitigation-focused agendas; (2) resisting neo-colonial extractive practices and exploring alternative models of commonwealth governance; (3) fostering communitarian, Indigenous-informed participatory initiatives; (4) rejecting hierarchical, technocratic approaches to accounting and accountability; and (5) advancing contextually grounded practices attuned to local socio-political, cultural and environmental realities, thereby addressing climate injustice in the Majority World. Originality/value Little research theorizes public sector climate accounting and accountability from the Majority World perspectives.

Purpose This study aims to develop a theory-based framework for sustainable third-party logistics (3PL) provider selection by drawing on the resource-based view (RBV), transaction cost economics (TCE) and stakeholder theory. It addresses the research gap between sustainability theory and practical decision-making in logistics outsourcing, focusing on the Turkish machinery industry as an emerging-market setting. Design/methodology/approach An exploratory study was conducted using a theory-based framework and analytic hierarchy process (AHP) analysis based on expert evaluations. First, a conceptual framework was developed based on a comprehensive literature review. Then, the AHP was applied to prioritize sustainability-related 3PL selection criteria across economic, environmental and social dimensions. Data were collected from a panel of 10 experienced logistics decision-makers in Turkey's machinery sector using pairwise comparisons. Findings The study finds that economic criteria dominate the 3PL selection process, with cost, quality and reliability ranked as the most influential sub-criteria. Environmental and social dimensions followed, with environmental legal and policy frameworks, green packaging, and health and safety receiving relatively high priority. These results suggest that sustainability considerations are gaining attention, while cost efficiency remains the dominant concern in the studied context. Research limitations/implications The study is exploratory and limited by a small expert sample size and industry-specific focus. The use of AHP, while effective for preference structuring, does not incorporate empirical performance data. The proposed theoretical model requires further empirical validation across broader contexts. Practical implications The findings provide a structured basis for practitioners to integrate sustainability considerations into 3PL selection processes. The study offers insights for managers in emerging market settings aiming to balance cost efficiency with environmental and social performance when outsourcing logistics operations. Social implications The research draws attention to social sustainability elements – such as worker safety, community engagement and employee rights – which remain underexplored in logistics decisions. Promoting these factors can lead to stronger stakeholder alignment and improved corporate responsibility outcomes. Originality/value This study examines sustainable 3PL provider selection in the Turkish machinery industry by applying established theoretical lenses – RBV, TCE and stakeholder theory – to structure and interpret sustainability-related criteria. Rather than proposing a new theory, the study provides context-specific empirical evidence on how firms prioritize economic, environmental and social considerations when selecting 3PL providers in a capital-intensive manufacturing sector that is closely linked to European markets. By combining a theory-informed framework with AHP-based expert judgments, the study contributes exploratory insights into the trade-offs firms face between cost efficiency, regulatory compliance and workforce-related social concerns.

This study investigates the impact of a Task-Based Speaking Language Program (TBSLP) on English language anxiety (FLA) among STEM undergraduates in China, addressing the prevalent issue of "deaf-mute English" where students excel in reading but struggle with oral communication. Drawing on Task-Based Language Teaching (TBLT) principles, the 12-week program was implemented with 50 sophomore and junior STEM students at a Chinese University, utilizing pre- and post-program surveys (adapted from the Foreign Language Classroom Anxiety Scale), and attendance tracking to measure changes in anxiety levels, speaking confidence, and willingness to communicate. Results indicated a significant reduction in FLA (p < 0.05), with participants reporting increased comfort in real-world speaking tasks and enhanced motivation for English use in STEM contexts. The findings underscore TBLT's efficacy in mitigating anxiety through authentic, collaborative activities, offering practical implications for EFL curriculum reform in Chinese higher education to better prepare STEM graduates for global collaboration.

Purpose This study examines the role of multiple stakeholders in eco-process innovation and the perceived value of green hospitality organizations. We propose customer involvement as a primary driver of eco-innovation, while leadership support for green innovation and employee involvement represent critical contingencies. Design/methodology/approach A multi-source, multi-level approach using hierarchical linear modeling (HLM) was applied to test the proposed hypotheses, based on data from 46 hotels in the United Arab Emirates. Findings Eco-process innovation has emerged as a critical mechanism linking customer involvement to perceived green value, and this relationship is further strengthened by leadership support for green innovation. Surprisingly, employee involvement did not show a moderating effect in the expected direction. Research limitations/implications This study advances stakeholder theory by positioning eco-process innovation as a core pathway through which hospitality organizations convert stakeholder engagement into sustainable value. Future research could investigate organizational and cultural factors that enhance eco-process innovation in the hospitality context. Practical implications Hospitality managers should prioritize developing and embedding eco-process innovations to maximize customer-driven sustainability outcomes. Strengthening leadership commitment to green innovation can further accelerate the adoption of eco-process innovations, while strategies to activate employee involvement may require more targeted interventions. Originality/value By centering eco-process innovation within a multi-level stakeholder framework, this study provides fresh empirical evidence on how hospitality organizations can integrate customer, leadership, and employee roles to achieve higher perceived green value, drawing insights from an under-researched context.

Medical specialization programs must safeguard quality training processes capable of responding to the clinical demands of the community and the requirements of national quality assurance systems. The objective of the study was to analyze the pedagogical practices implemented in a specialization program from the perspective of residents and graduates, also considering consistency with its regulatory documents. A single instrumental case study was developed that included semi-structured interviews with five residents and four graduates belonging to a specialization program in traumatology and orthopedics in Chile. The findings show that the training process is characterized by a student-centered approach, highlighting supervised clinical practice, progressive autonomy in decision-making, the link between teaching and research, and a dialogical relationship between teachers and residents. Consistency was found between testimonies and regulatory documents. The study provides qualitative evidence on effective pedagogical practices in medical specialization, relevant for reflection and strengthening of similar programs. Practical implications are provided for academic management, teaching, and continuous improvement at this level of training.

OVERVIEW: The fourth-generation university (4GU) represents a fundamental shift in how universities engage with innovation ecosystems. While entrepreneurial universities emphasize commercialization and direct economic engagement, 4GUs explicitly organize their teaching, research, and valorization activities around societal transformation missions while orchestrating regional innovation ecosystems. For R&D managers, this transition creates new strategic opportunities: Small and medium-sized enterprises (SMEs) gain access to research infrastructure and collaborative networks otherwise beyond their reach, while large corporations can externalize exploratory research and participate in system-level solutions to grand challenges. We develop a working definition of the 4GU and demonstrate its practical implications through Eindhoven University of Technology’s evolution within the Brainport ecosystem, showing how this model creates value for R&D managers through ecosystem participation rather than bilateral knowledge transfer. We provide a staged implementation framework that guides firms from ecosystem assessment to co-orchestration, supported by multitier performance metrics that balance traditional innovation outputs with ecosystem development indicators. This article contributes to innovation management practice by reframing university–industry collaboration as ecosystem development—essential for addressing the complex, interdependent challenges that define contemporary innovation.

Purpose This study explores the urgent issue of how a supplier’s social reputation and compliance programs (CPs) together affect buyer trust and the choice of socially responsible suppliers. This area remains underexplored, despite the continued rise in stakeholder and regulatory demands for social sustainability in supply chains. Design/methodology/approach We conducted a cross-country, 2 x 2 full-factorial, scenario-based experiment with 308 purchasing and supply chain managers from the UK and the US. Hypotheses were tested using a linear moderated mediation model based on signaling theory (ST). Findings The findings indicate that trust predominantly mediates the relationship between a supplier's socially responsible reputation (SRR) and supplier selection. Moreover, a CP moderates the positive effect of social reputation on buyer trust. This illustrates the complex interaction between reputation and compliance as social indicators in supplier selection choices. This emphasizes trust as a key factor that converts intangible social reputation into tangible supplier performance results. Practical implications We advise managers to focus on developing and communicating social responsibility, reputation, and CPs. This approach can foster buyer trust and enhance competitive positioning in markets that are increasingly shaped by social and regulatory expectations. Originality/value This study contributes to the existing literature by empirically elucidating the interaction between reputation and CPs as credible signals that mitigate information asymmetry and inform responsible supplier selection. Our experimental design provides robust evidence on how trust mediates supplier selection decisions, thereby refining applications of ST to socially responsible sourcing.

The Hong Kong Government developed the Reference Framework for Preventive Care for Older Adults (RF) to provide evidence-based recommendations for preventive care in the primary care setting. However, no study has systematically evaluated the adoption and awareness of this framework among primary care physicians (PCPs). This study aimed to explore PCPs' perceptions of the RF and identify barriers and facilitators to its adoption in primary care settings. This cross-sectional qualitative study involved interviews with 40 PCPs in Hong Kong to assess their views on the RF's adoption and implementation. The Consolidated Framework for Implementation Research (CFIR) was used to guide the analysis, focusing on five domains: intervention characteristics, outer setting, inner setting, individual characteristics, and implementation process. Relative advantage (65%, n = 26), innovation design (45%, n = 18), and access to knowledge and information (70%, n = 28) were the facilitators that mostly discussed by interviewee. By contrast, interviewees also raised concerns regarding policy and legal (n=29, 73%) and availability of resources (n=29, 73%) in the implementation of the RF. In general, participants acknowledged the RF's evidence-based foundation and comprehensive design, appreciating its potential to improve care for older adults. However, barriers included the complexity and limited personalization of the RF, competing clinical priorities, time constraints, and resource limitations. Government support and policy initiatives facilitated engagement, but clearer integration into existing workflows and stronger promotion were needed. Tailored updates, user feedback, and technological enhancements were seen as essential for improving the RF's usability and ensuring its relevance in clinical practice. This study highlights that while the RF has potential to improve preventive care in Hong Kong's primary care setting, its adoption is constrained by systemic, organizational, and individual barriers. To ensure its successful integration, flexible implementation, institutional support, tailored incentives, and enhanced clinician and patient engagement are essential. These findings offer practical implications for policymakers and healthcare practitioners to refine and promote the RF in routine consultations, and underscore the need for future research to test theory-informed implementation strategies. Furthermore, this study offered novel contributions to the CFIR literatures in systematically investigate physician perspectives on RF for the older adult population within the distinct socio-cultural and structural context of Hong Kong, COVID-19 pandemic impact to the current healthcare system and actionable implementation strategies for Asian populations. Applying the findings from this study, the CFIR-ERIC Matching Tool could be used to address the specific barriers identified in this study and improving implementation outcomes across various healthcare settings.