Previous Experience Research Articles

Cumulative sum learning curve for cordocentesis among maternal-fetal medicine fellows in a low-cost simulation model.

To determine the individual learning curves for cordocentesis in a low-cost simulator for maternal-fetal medicine (MFM) fellows. This observational, descriptive, educational, and prospective study was performed from July through November 2022. After an introductory course based on a standardized technique for cordocentesis, each second-year MFM fellow who accepted to participate in the study performed this procedure using a low-cost simulation model, and experienced operators supervised the cordocenteses. Learning curves were then created using cumulative sum analysis (CUSUM). Seven second-year MFM fellows with no previous experience in cordocentesis accepted to participate in the study. A total of 2676 procedures were assessed. On average, residents performed 382 ± 70 procedures. The mean number of procedures to achieve proficiency was 369 ± 70, the overall success rate was 84.16%, and the corresponding failure rate was 15.84%. At the end of the study, all fellows were considered competent in cordocentesis. One fellow required 466 attempts to achieve competency, performing a total of 478 procedures, but the resident with the fewest attempts to reach competency required 219 procedures, completing 232 procedures. Some of the most frequent reasons for failed attempts included not reaching the indicated point for vascular access (20.99%) and being unable to retrieve the sample (69.10%). CUSUM analysis to assess learning curves, in addition to using low-cost simulation models, helped to appraise individualized learning, allowing an objective demonstration of competency for cordocentesis among MFM fellows.

As Teachers Not Tourists: Creating Knowledge During a Short-Term Study Abroad Program

Here, I address the call for teacher education programs to feature international elements to help pre-service teachers craft powerful classroom instruction and successfully work with students from culturally diverse backgrounds. I share a qualitative investigation of participants’ experiences during a short-term study abroad program in Japan that explored contemporary disaster preparedness as a result of the Great East Japan Earthquake and Tsunami. The program sponsors, the Japanese Ministry of Foreign Affairs, hoped participants would develop an appreciation for the people and culture of Japan while they learned about disaster preparedness. I wondered if collecting curriculum items during a short-term study abroad program could help social studies pre-service teachers create—not just receive—historical domain knowledge? In Japan, participants collected items to use as featured resources around which they designed classroom activities for secondary students. Their activities demonstrated three levels of second-order historical domain knowledge and two elements of civic competence. This study suggests that pre-service teachers with no previous international experience may require explicit modeling and scaffolding to translate their short-term study abroad participation into dynamic learning. Another implication is that participants need strong support to consider the photographs they capture as artifacts of contemporary material culture.

First report of robotic retromuscular incisional hernia repair with Hugo Ras™ surgical system.

Treatment of incisional hernia is a rapidly evolving field of surgery, with actual trends being oriented toward retromuscular/preperitoneal mesh placement. The diffusion of robotic surgery is constantly growing in different surgical specialties and is gaining widespread acceptance for abdominal wall reconstruction. Recently, novel robotic platforms have entered into the market. In this study, we present the first transabdominal retromuscular incisional hernia repair performed with the new Hugo RAS™ system (Medtronic, Minneapolis, MN, USA). The surgical team had previous robotic experience and completed an official 2-day session running incisional hernia repair on human cadaver lab. Operating room setting and trocar layout were planned. The patient presented a 4 × 4cm midline incisional hernia and was scheduled for transabdominal retromuscular incisional hernia repair at our Institution. A description of the operative room setup, robotic arm configuration and docking/tilt angles is provided. Docking time, operative time, and console time were 15, 95, and 75min, respectively. All the surgical steps were completed without critical surgical errors or high-priority alarms. Neither intraoperative complications nor conversion to open surgery was recorded. Postoperative course was uneventful and the patient was discharged on postoperative day 2. The safety and the feasibility of these procedures will require further analysis and larger patients' sample sizes for procedural standardization and potential integration into minimally invasive abdominal wall reconstruction programs.

Challenges in Researching Endangered and Vulnerable Languages in Serbia within the Project “Vulnerable Languages and Linguistic Varieties in Serbia”: Methodological and Ethical Issues

In the paper we define, elaborate and illustrate what language documentation is, firstly by focusing on the global context where the large number of vanishing languages warrants such an approach in applied linguistics, and then by narrowing our scope to the local context of the Republic of Serbia, which itself has a certain number of endangered and vulnerable languages and language varieties. Indicating the discrepancy between official records found in world catalogues and databases (UNESCO’s Atlas of the World’s Languages in Danger, Ethnologue, and The Catalogue of Endangered Languages (ELCat)) and the situation in the field as described by researchers familiar with the local context, we investigate the experiences of a team of researchers currently working on documenting Aromanian, Banat Bulgarian, Vojvodina Rusyn (Ruthenian), Judezmo (Ladino), Romani (Gurbet and Arli varieties), Megleno-Romanian and Romanian (Bayash and Vlach varieties) as endangered and vulnerable languages and language varieties in Serbia. Using interviews as a method for collecting data, conveying the researchers’ experiences in the field and their ways of dealing with various issues that come up in the process of language documentation, we have singled out two broad fields of topics. The first one tackles methodological challenges encountered prior and during field work, whereas the second focuses on ethical issues that necessarily must be resolved due to the participation of human subjects. In terms of the first group of topics, we have focused on research design (considerations involved in the project preparation), sampling (usually relying on researchers’ previous experiences more than on official records), personal involvement (often inevitable, but researchers do present strategies that help them maintain objectivity), and establishing first contact and recruiting informants (which also relies on previous work in the community). As for the second group of topics, that concerns ethical issue, the researchers have discussed the ways of getting informants’ consent for research and how they explain the importance of language documentation for that particular community and its members. Additionally, it addresses the issue of compensation that sometimes occurs, where informants expect either material or other kind of reward for helping out the research team. The paper also discusses how researchers deal with various sensitive topics that may range from personal issues to political opinions, and finally, the ethical responsibility that the researchers have towards the community they are studying in terms of giving something back and providing a sustainable relationship towards the language in question. We conclude by positioning the process of language documentation in the wider field of social studies, indicating its importance not only for sociolinguistics but also for the sociology of language, sociology of ethnicity and other related disciplines.

A context-driven approach through stakeholder engagement to introduce a digital emergency obstetric and newborn care register into routine obstetric health care services in Bangladesh.

Emergency obstetric and newborn care (EmONC) in Bangladesh focusses on maternal health, whereby it addresses childbirth and postpartum complications to ensure women's health and well-being. It was transitioned to a digital platform to overcome challenges with the paper-based EmONC register and we conducted implementation research to assess the outcome. Here we outline the stakeholder engagement process integral to the implementation research process. We adopted a four-step stakeholder engagement model based on the identification, sensitisation, involvement, and engagement of stakeholders. The approach was informed by previous experience, desk reviews, and expert consultations to ensure comprehensive engagement with stakeholders at multiple levels. Led by the Maternal Health Programme of the Government of Bangladesh, we involved high-power and high-interest stakeholders in developing a joint action plan for digitisation of the paper-based EmONC register. Finally, we demonstrated this digital EmONC register in real-life settings to stakeholders at different levels. The successful demonstration process fostered government ownership and collaboration with multiple stakeholders, while laying the foundation for scalability and sustainability. Nevertheless, our experience highlighted that the stakeholder engagement process is context-driven, time-consuming, resource-intensive, iterative, and dynamic, and it requires involving stakeholders with varied expertise. Effective strategic planning, facilitation, and the allocation of sufficient time and resources are essential components for successful stakeholder engagement. Our experience demonstrates the potential of adopting the 'identification, sensitisation, involvement, and engagement' stakeholder engagement model. Success in implementing this model in diverse settings depends on leveraging knowledge gained during implementation, maintaining robust communication with stakeholders, and harnessing the patience and determination of the facilitating organisation.

IN VIVO ACCURACY OF A NEW ROBOTICALLY ASSISTED SYSTEM FOR TOTAL KNEE ARTHROPLASTY: A PROSPECTIVE COHORT STUDY

IntroductionRecent technological advancements have led to the introduction of robotic-assisted total knee arthroplasty to improve the accuracy and precision of bony resections and implant position. However, the in vivo accuracy is not widely reported. The primary objective of this study is to determine the accuracy and precision of a cut block positioning robotic arm.MethodSeventy-seven patients underwent total knee arthroplasty with various workflows and alignment targets by three arthroplasty-trained surgeons with previous experience using the ROSA® Knee System. Accuracy and precision were determined by measuring the difference between various workflow time points, including the final pre-operative plan, validated resection angle, and post-operative radiographs. The mean difference between the measurements determined accuracy, and the standard deviation represented precision.ResultsThe accuracy and precision for all angles comparing the final planned resection and validated resection angles was 0.90° ± 0.76°. The proportion within 3° ranged from 97.9% to 100%. The accuracy and precision for all angles comparing the final intra- operative plan and post-operative radiographs was 1.95 ± 1.48°. The proportion of patients within 3° was 93.2%, 95.3%, 96.6%, and 71.4% for the distal femur, proximal tibia, femoral flexion, and tibial slope angles when the final intra-operative plan was compared to post-operative radiographs. No patients had a postoperative complication requiring revision at the final follow-up.ConclusionsThis study demonstrates that the ROSA Knee System has accurate and precise coronal plane resections with few outliers. However, the tibial slope demonstrated decreased accuracy and precision were measured on post-operative short-leg lateral radiographs with this platform.

Case report: A left forearm mass with eccentric intramedullary ulnar destruction diagnosed as alveolar rhabdomyosarcoma and treated by wide resection and free vascularized fibular graft

BackgroundAlveolar Rhabdomyosarcoma is a profoundly malignant soft-tissue sarcoma that predominantly affects children and adolescents. However, the medical field lacks consensus regarding the optimal surgical approach to be undertaken in cases where this tumor causes local bone destruction in the upper limb.Case descriptionA 17-year-old male presented a mass in his left forearm and CT and MRI indicated that the mass had penetrated the ulnar cortex and infiltrating the medulla, resulting in the formation of an eccentric trans-ventricular tumor focus. The sizable tumor affected the volar muscles of the forearm as well as the ulnar bone marrow, exerting pressure on the ulnar artery and vein. It was confirmed by needle biopsy that the mass is alveolar rhabdomyosarcoma. Following two courses of neoadjuvant chemotherapy, the tumor was widely excised en bloc. Autologous fibula with a vascular pedicle was utilized for reconstruction during the procedure. In the postoperative follow-up, no local recurrence of the tumor was observed. Furthermore, the patient retained satisfactory wrist flexion and pronation function in the left forearm.ConclusionsAlveolar rhabdomyosarcoma is an uncommon and highly aggressive form of soft tissue sarcoma. Scientific management necessitates a multidisciplinary approach, combining chemotherapy with surgery. In cases where the tumor invaded into compartment of the bone, careful consideration should be given to the boundaries of tumor resection, the extent of osteotomy, and the approach to musculoskeletal reconstruction when designing the surgical plan. Through reporting our own case and thoroughly reviewing previous clinical experiences, we aim to provide valuable insights for the treatment of this particular disease.

COVID-19 and COVID-19 vaccination experiences and perceptions among health workers during the pandemic in Ebonyi state, Nigeria: An analytical cross-sectional study

Background COVID-19 continues to be a disease of global public health importance and requires long-term management and control. Health workers’ (previous) experiences and perceptions regarding the COVID-19 pandemic and COVID-19 vaccination/vaccination process will influence not only their subsequent use of control measures but also public experiences/perceptions. We explored the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions, and their predictors, among the health workers in Ebonyi state, Nigeria. Methods We conducted an online-offline analytical cross-sectional survey between March 12 and May 9, 2022 among all categories of health workers (clinical/non-clinical, public/private) working/living in Ebonyi state who consented to participate and were selected by convenience/snowballing techniques. A structured electronic questionnaire was used to collect data: self-administered via WhatsApp and interviewer-administered via KoBoCollect for participants who did not have WhatsApp. Data was analysed using descriptive statistics and bivariate/multivariate generalized linear models. Results Of the 1276 health workers surveyed: 55.8% had strong COVID-19 experience and perception, 80.7% had good COVID-19 vaccination expectation and perception, and 87.7% had positive COVID-19 vaccination process experience and perception. The most important predictors of the extent and level of COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions were level of place of work (primary-secondary/tertiary), level of attitude towards COVID-19 (vaccination), and level of knowledge about COVID-19. Another important predictor was place of work (public/private). Conclusions The evidence indicate the factors that should guide subsequent policy actions in the strategies to enhance the COVID-19 and COVID-19 vaccination and the vaccination process experiences and perceptions of health workers (and their use of control measures) in Ebonyi state, Nigeria, and other similar contexts. It also indicate factors to be considered by future policy actions regarding similar diseases.

Environmental antecedents, innovation experience, and officials’ innovation willingness: evidence from China

ABSTRACT Prompting officials’ innovation willingness is a prerequisite for processes of public sector innovation. This article constructs a framework explaining officials’ innovation willingness by linking environmental antecedents and path dependence. The empirical analysis, based on an original survey of 403 officials and interviews with 102 officials in China, shows that their innovation willingness is mostly driven by factors within the bureaucratic system, i.e. top-down and horizontal drivers but less so by bottom-up drivers. Moreover, officials with previous innovation experience tend to have more innovation willingness but are less driven by top-down factors. This study advances the theory of innovation willingness generation.

Characteristics of consecutive versus non-consecutive frequent emergency medical services transport to a single emergency department

Objective This study was to examine characteristics concerning frequent users of emergency medical services (EMS) transport by comparing patients who used EMS transport frequently for one year and those who used EMS transport for more than two years consecutively. Methods A retrospective review for frequent use of EMS transport was conducted. The patients from the fire stations that transported more than 70% of all EMS transport to the study hospital emergency department (ED) were included. The study subjects were divided into consecutive group (frequent EMS transport for ≥ two years consecutively) and non-consecutive group (frequent EMS transport for only one year). Characteristics of patients who were frequent users of EMS transport and those of all cases with EMS transport were examined. Results Of the total 205 patients and 1204 cases of frequent EMS transport, 85 (42%) patients and 755 (63%) cases were in the consecutive group. Patients in the consecutive group were more likely to have risky alcohol use, unemployed state, and medical aid type of payment for ED treatment than those in the non-consecutive group. More patients had previous experience of EMS transport to the study hospital ED in the consecutive group and the number of cases with alcohol ingestion was higher in the consecutive group. Elapsed time from EMS call to ED arrival was longer for the consecutive group. Conclusion Risky alcohol use, unemployed state, and previous experience of EMS transport were associated with consecutive and frequent use of EMS transport in frequent users of EMS transport.

Being tolerated as a minority group member: an experimental study with virtual teams

ABSTRACT Research on the experience of being tolerated has focused on single events, ignoring the important question of whether the experience of being tolerated depends on previous experiences. We examined whether the experience of being tolerated has a negative impact on minority team members depending on whether they had previously been rejected or fully accepted. In a pre-registered study with 440 participants, we used a recently developed experimental paradigm to simulate workstyle minority status in virtual teams. These participants were randomly assigned to experience rejection or acceptance followed by being tolerated. Experiencing tolerance after rejection was strongly positive, reducing negative well-being, increasing positive future expectations about interactions with majority team members, and reducing people’s intention to withdraw from their teams. By contrast, experiencing tolerance after acceptance was weakly but consistently negative, with increased negative well-being, increased negative future expectations, and increased withdrawal intentions. Lastly, despite tolerance being more harmful than acceptance, that harmfulness did not translate into greater willingness to raise one’s voice and express discontent about not being valued.

Navigating Government Funding During a Pandemic: A Study on Nonprofits’ Receipt of Disaster Relief Funds

Abstract American communities have been the hardest hit by the COVID-19 pandemic. The collaboration between governments and nonprofits is needed to satisfy the needs of the American communities. This article investigates the organizational factors of nonprofits that contribute to the obtainment of government disaster relief funds in the context of the COVID-19 pandemic by surveying nonprofits whose main offices were located in California. The findings show that, in general, having internal professionals in fundraising, and having previous experience in government applications contribute to the successful receipt of government relief funds. Moreover, different factors are associated with the receipt of relief funds from different levels of government. This article offers valuable insights to government and nonprofit funding relations and how their collaboration can enhance community resilience during times of disasters.

Fuzzy Evaluation Model for Products with Multifunctional Quality Characteristics: Case Study on Eco-Friendly Yarn

Numerous advanced industrial countries emphasize green environmental protection alongside athletic healthcare. Many world-renowned sports brands are actively developing highly functional, environmentally friendly, and aesthetically pleasing products. For example, in the production of sports shoes, the eco-friendly yarn process is one of the important processes. This process involves multiple crucial larger-the-better quality characteristics closely tied to the functionality of sports shoes. Facing green environmental regulations and external competitors, it is evidently an imperative issue for enterprises to consider how to improve the quality of newly developed products, increase product value, and lower rates of both rework and scrap to accomplish the goals of saving energy and minimizing waste. Aiming to solve this problem, this study proposed a fuzzy evaluation model for products with multifunctional quality characteristics to assist the sporting goods manufacturing industry in evaluating whether all functional quality characteristics of its products meet the required quality level. This study first utilized the larger-the-better Six Sigma quality index concerning environmental protection for evaluation and then proposed product evaluation indicators for the eco-friendly yarn. Since the parameters of these indicators have not yet been determined, sample data need to be used for estimation. Enterprises require rapid response, so that the sample size is relatively small. Sampling error will increase the risk of misjudgment. Therefore, taking suggestions from previous studies, this study constructed the fuzzy evaluation model based on confidence intervals of quality indicators for the eco-friendly yarn. This method incorporated previous experience with data, thereby enhancing assessment accuracy.

A virtual reality-based dual-mode robot teleoperation architecture

Abstract This paper proposes a virtual reality-based dual-mode teleoperation architecture to assist human operators in remotely operating robotic manipulation systems in a safe and flexible way. The architecture, implemented via a finite state machine, enables the operator to switch between two operational modes: the Approach mode, where the operator indirectly controls the robotic system by specifying its target configuration via the immersive virtual reality (VR) interface, and the Telemanip mode, where the operator directly controls the robot end-effector motion via input devices. The two independent control modes have been tested along the task of reaching a glass on a table by a sample population of 18 participants. Two working groups have been considered to distinguish users with previous experience with VR technologies from the novices. The results of the user study presented in this work show the potential of the proposed architecture in terms of usability, both physical and mental workload, and user satisfaction. Finally, a statistical analysis showed no significant differences along these three metrics between the two considered groups demonstrating ease of use of the proposed architecture by both people with and with no previous experience in VR.

Australia’s FinTech leaders: Education, work experience, and eagerness of self-employment

In recent years, many FinTech start-up firms have poured into the FinTech landscape. Since FinTech leaders (including founders and chief executive officers (CEOs)) have a major impact on the performance of their respective firms, research studies on FinTech leaders are indispensable. This paper discusses our study to investigate three major dimensions (education, work experience, and eagerness of self-employment) of FinTech leaders in an Australian context. We also compare these dimensions between FinTech founders and CEOs. Overall, we found that: (a) The majority of FinTech leaders are degree holders and one-third of them have a master’s degree. (b) Only about one-third of leaders with a master’s degree hold an MBA. (c) Only 19.4% and 11.1% of degree-holding leaders were graduated from the IT and finance discipline, respectively. (d) Only 19.0% of leaders have previous IT work experience and the mean years of such experience is only 2.0. (e) 54.8% of leaders have previous finance work experience and the mean years of such experience is 6.7. (f) When compared with CEOs, founders are more likely to hold a master’s degree and are more eager to be self-employed.

Online Dialogue

AbstractIn judging the relative merits of online, in‐person, and hybrid conferences and meetings, this article takes as a case study the Global Ecumenical Theological Institute (GETI), which took place as an in‐person phase held in conjunction with the 11th Assembly of the World Council of Churches in 2022, following an earlier online phase. The primary objective was to determine the level of satisfaction among participants with the online phase and whether they considered the online phase to have enhanced the productivity of the subsequent in‐person phase. The research found that the combination of online and in‐person phases was deemed an ideal approach for conferences and programmes such as GETI. While it would have been challenging for young researchers or students without previous assembly experience to keep up with the programme without a preparatory online phase, building friendships and connections solely through the online phase proved to be difficult. Accordingly, it is crucial to recognize the situations where in‐person meetings are necessary and effective versus those where online dialogue suffices.

Learning capabilities to resolve tilt-translation ambiguity in goldfish

IntroductionSpatial orientation refers to the perception of relative location and self-motion in space. The accurate formation of spatial orientation is essential for animals to survive and interact safely with their environment. The formation of spatial orientation involves the integration of sensory inputs from the vestibular, visual, and proprioceptive systems. Vestibular organs function as specialized head motion sensors, providing information regarding angular velocity and linear acceleration via the semicircular canals and otoliths, respectively. However, because forces arising from the linear acceleration (translation) and inclination relative to the gravitational axis (tilt) are equivalent, they are indistinguishable by accelerometers, including otoliths. This is commonly referred to as the tilt - translation ambiguity, which can occasionally lead to the misinterpretation of translation as a tilt. The major theoretical frameworks addressing this issue have proposed that the interpretation of tilt versus translation may be contingent on an animal’s previous experiences of motion. However, empirical confirmation of this hypothesis is lacking.MethodsIn this study, we conducted a behavioral experiment using goldfish to investigate how an animal’s motion experience influences its interpretation of tilt vs. translation. We examined a reflexive eye movement called the vestibulo-ocular reflex (VOR), which compensatory-rotates the eyes in response to head motion and is known to reflect an animal’s three-dimensional head motion estimate.ResultsWe demonstrated that the VORs of naïve goldfish do not differentiate between translation and tilt at 0.5 Hz. However, following prolonged visual-translation training, which provided appropriate visual stimulation in conjunction with translational head motion, the VORs were capable of distinguishing between the two types of head motion within 3 h. These results were replicated using the Kalman filter model of spatial orientation, which incorporated the variable variance of process noise corresponding to the accumulated motion experience.DiscussionBased on these experimental and computational findings, we discuss the neural mechanism underlying the resolution of tilt-translation ambiguity within a context analogous to, yet distinct from, previous cross-axis VOR adaptations.

Foreign Language Anxiety: A Study on Spanish Learners

Foreign language anxiety (FLA) as a crucial affective variable has been unexplored in the context of the Spanish language. This paper reports a study that investigated Spanish language anxiety (SLA) and its potential causes and inquired into the relationship between the role of a teacher and SLA. A mixed-methods research design was adopted, including a questionnaire [Foreign Language Classroom Anxiety Scale (FLCAS)], semi-structured interviews, and observation as data collection among the undergraduates (female = 32, male = 18) and Spanish teachers (2). The FLCAS data revealed that students experience low to moderate anxiety, with communication apprehension being highly rated (mean = 3.26) followed by fear of negative evaluation (mean = 2.8) and test anxiety (mean = 2.25). The interview data recorded listening and speaking tasks, fear of negative evaluation, teacher talk, negative self-comparison, and previous bad language learning experiences are the prominent sources of anxiety. In this context, Spanish teachers are found to reduce students' anxiety mostly by giving interesting activities, accepting students' mistakes, and using body language. This paper offers insight into the causes that trigger FLA and an impactful relationship between a teacher's role and FLA. Some suggestions are proposed for teachers based on the findings to mitigate students’ anxiety.

An Examination of Meaningful Experiences During Sport Education

Background: In recent research years, there has been an increasing focus on the meaningfulness of physical education experiences. While it has been suggested that certain curriculum models such as sport education or cooperative learning provide opportunities for meaningful engagement in physical education, to date there has been no empirical study of those claims. Objectives: The purpose of this study was to quantitatively examine students’ perceptions of meaningfulness in two physical education contexts: traditional multi-activity format, and sport education. Methods: Sixty seventh-grade students aged 12 to 14 completed a 20-item survey titled "Meaningful Experiences in Physical Education Survey (MEPES)" prior to and at the completion of one of three sport education seasons. The analysis consisted of independent samples t-test comparisons between the two contexts (previous physical education experiences, and sport education) for each of the five dimensions of meaningfulness. A Pearson correlation was conducted to examine if there were significant relationships between the five dimensions. Results: Results of the independent samples t-test showed that significantly higher levels of meaningfulness were identified from participation in sport education than in previous physical education for four of the five dimensions. Pearson's coefficient results indicated significant positive correlations between all five meaningfulness dimensions. Conclusion: Sport education has structural elements that promote a sense of meaningfulness within physical education.

The reflections of health service providers on implementing contingency management for methamphetamine use disorder in Australia.

Contingency management (CM) is the most effective treatment for reducing methamphetamine use. We sought to understand why CM has not been taken up to manage methamphetamine use disorder in Australia. Six focus groups (4-8 participants per group) were conducted with health workers from agencies in Australia that provided drug-related health care to people who use methamphetamine. These agencies had no previous experience delivering CM for substance use. The potential acceptability and feasibility of implementing CM in their services were discussed. Participants felt that it would be beneficial to have an evidence-based treatment for methamphetamine use disorder. This sentiment was offset by concerns that CM conflicted with a client-centred harm-reduction approach and that it dictated the goal of treatment as abstinence. It was also perceived as potentially coercive and seen to reify the power imbalance in the therapeutic relationship and therefore potentially reinforce stigma. There was also concern about the public's perception and the political acceptability of CM, who would fund CM, and the inequity of providing incentives only to clients with a methamphetamine use disorder. Some concerns could be ameliorated if the goals and structure of CM could be tailored to a client's needs. Many healthcare workers were keen to offer CM as an effective treatment option for people with methamphetamine use disorder, but CM would need to be sufficiently flexible to allow it to be tailored to client needs and implemented in a way that did not adversely impact the therapeutic relationship.