Description Of Project Research Articles

Emphasizing rewards: An empirical analysis of backer motivations in charitable crowdfunding

Crowdfunding provides an effective way to raise small amounts of funds from a large number of backers. This study aims to explore the impact on backer behavior and subsequent funding outcomes when tangible rewards are emphasized in charitable crowdfunding campaigns. Based on the data from a crowdfunding platform in China, we differentiate between the behavior of backers who are intrinsically motivated and backers who are (at least) partly extrinsically motivated. Our results indicate that emphasizing promised rewards plays a dual role in charitable crowdfunding projects. While it makes a project more appealing to partly extrinsically motivated backers, it simultaneously undermines the enthusiasm of intrinsically motivated backers. However, partly extrinsically motivated backers are more crucial for the success of charitable crowdfunding projects. Explicitly mentioning promised rewards in the project description increases the proportion of these backers, thereby enhancing the project's fundraising performance. Finally, we discuss the importance of the interaction of crowdfunding campaign design with backer motivation in charitable crowdfunding.

How to monitor local objectives for urban climate change adaptation? Insights from quantitative content analysis of selected participatory budgets in the upper Silesian-Zagłębie Metropolis

Subsequent analyses of participatory budgeting in Poland emphasise the popularity of environmental issues such as greenery, air quality, and sustainable transport, which should also support objectives in urban climate change adaptation (UCCA). An increasing number of adaptation projects within local standards or ‘green’ civic budgets are often listed among the indicators in urban adaptation plans for Polish cities. However, available research studies and urban evaluation reports show that monitoring participatory budgets poses a methodological challenge. Therefore, the aim of the article is twofold. First, it proposes a method of identifying overlaps of urban climate change adaptation objectives with descriptions of projects submitted to local participatory budgets of the Upper Silesian-Zagłębie Metropolis. For this purpose, a dictionary-based text analysis of project descriptions was performed and critically examined. The second aim was to identify trends in urban climate change adaptation objectives. Thus, the quantitative distribution of coded descriptions was evaluated to investigate how subsequent types of participatory budgets (editions, green vs. standard, implemented vs. non-implemented) differed. The results demonstrate that the available database of participatory budget projects is a rich source of information on local preferences towards issues related to UCCA. To strengthen the objectives of urban climate change adaptation, city administrations can consider additional tools, such as UCCA-related tips/inspiration and targeted calls for projects, as well as supplementing participatory budgets with other deliberative methods. However, collecting precise and calculable data on this topic based on participatory budget databases requires both methodological adjustments and careful validation.

The effects of promotional narratives in entrepreneurial financing: Evidence from pre-sale crowdfunding

Based on a sample of pre-sale crowdfunding projects launched on the Kickstarter platform between 2009 and 2021, we find that using promotional words in project descriptions positively affects crowdfunding performance and the effect becomes stronger over time. We also find that, when lying cost is high, when the proportion of naïve investors is high, or when there exists a contemporaneous signal, the positive association between the use of promotional words and crowdfunding performance is more pronounced, implying that investors discount founder’s promotional narratives less in these cases. Finally, we find that the use of promotional words is correlated with a higher probability of delayed delivery and refund requests, suggesting the employment of promotional narratives reduces the efficiency of resource allocation. The above findings are inconsistent with the classical signaling theory but consistent with the theory of cheap talk communication with lying costs. Overall, this study expands the research on signaling behavior in entrepreneurial financing by incorporating the theory of cheap talk communication with lying costs into this field.

Co-Designing a Digital App to Support Young People's Patient and Public Involvement and Engagement (VoiceIn): Development and Usability Study.

While patient and public involvement and engagement (PPIE) is now seen as a cornerstone of mental health research, young people's involvement in PPIE faces limitations. Work and school demands and more limited independence can make it challenging for young people to engage with PPIE. Lack of ability or desire to attend face-to-face meetings or group discussions can further compound this difficulty. The VoiceIn app and digital platform were codeveloped by a multidisciplinary team of young people, mental health researchers, and software designers, and enables young people to engage directly with PPIE opportunities via a mobile app. This paper aims to describe how VoiceIn was developed through a series of co-design workshops with relevant stakeholders, specifically (1) how the initial design of VoiceIn was informed and driven by focus groups with young people, mental health professionals, and PPIE leads; (2) how VoiceIn was refined through collaboration with the aforementioned stakeholders; (3) the priorities for an app to support PPIE; (4) the key features necessary in the PPIE app; and (5) the recommended next steps in testing and deploying the digital platform. Initial co-design workshops took place with young people, mental health professionals, and PPIE leads to identify key features of an app to support PPIE. A series of VoiceIn design prototypes were developed and iterated based on the priorities and preferences of the stakeholders. The MoSCoW (must have, should have, could have, won't have) prioritization method was used throughout the process to identify priorities across the different stakeholder groups. Co-design with young people, mental health professionals, and PPIE leads supported the successful development and improvement of the VoiceIn app. As a result of this process, key features were identified, including allowing for various modes of providing feedback (eg, polls and comments), reviewing project updates, and expressing interest in categories of research. The researcher platform was developed to support multimedia uploads for project descriptions; a jargon detector; a dedicated section for providing project updates; and a visually appealing, user-friendly design. While all stakeholder groups emphasized the importance of allowing app users to engage with the app in various ways and for there to be ongoing progress updates, group differences were also noticed. Young people expressed a desire for incentives and rewards for engaging with the app (eg, to post on their public social media profiles), and mental health professionals and PPIE leads prioritized flexibility in describing the project and its PPIE needs. A co-design approach was pivotal to the development of the VoiceIn app. This collaborative approach enabled the app to meet the divergent needs of young people, mental health professionals, and PPIE leads. This process mirrored the aspirations of PPIE initiatives by cocreating a digital health research tool with key stakeholders.

Google news initiative innovation challenge in Latin America: business models between path dependence and power relations

ABSTRACT In response to growing regulatory pressures, tech companies have partnered with media organizations to support news production through programs, grants, and financial aid for journalism. Notably, the Google News Initiative (GNI) Innovation Challenge has invested millions in Latin American news projects. This study explores the characteristics of these projects and their impact on the business models of Latin American media organizations. By examining project descriptions, a typology clarifies the connection between these initiatives and their effects on publishers’ business models. This analysis is complemented by 20 semi-structured interviews conducted from January 2020 to March 2023 with key regional informants. Results show three types of projects emerging through the GNI Innovation Challenge: audience-building, revenue generation, and technological innovation. It becomes evident that these media organizations are trapped in a dependent cycle, significantly contributing to their challenges in establishing sustainable business models. Furthermore, the study suggests that media organizations perceive these grants as a temporary financial resource, enabling them to hire additional staff and implement technological advancements within their newsrooms for a short time. Meanwhile, Google exerts its influence across the media industry by promoting cutting-edge technologies, which increases media dependence on its infrastructure. Ultimately, this research highlights the complex dynamics between big tech firms and the news industry, raising questions about the journalism sustainability and the potential consequences of its path dependence and capture by platforms.

A holistic approach to address female genital schistosomiasis in Ghana and Madagascar: the FGS Accelerated Scale Together Package

Women and girls who have been infected with the blood fluke Schistosoma haematobium can experience the chronic form of urogenital schistosomiasis, called female genital schistosomiasis (FGS). Some FGS symptoms resemble sexually transmitted infections. As a result, women and girls seeking treatment are often misdiagnosed and stigmatized. The FGS Accelerated Scale Together (FAST) Package project implemented a holistic approach to address FGS combining proven interventions in training, mass drug administration, diagnosis, and treatment as well as community awareness to address FGS in four selected districts in Ghana and Madagascar. The FAST Package was supported by an FGS National Committee who provided guidance on integration at the national level. Using an implementation research design, researchers worked closely with government counterparts in the programs for neglected tropical diseases in both countries. Baseline cross-sectional surveys and qualitative methodologies collected information on schistosomiasis and FGS awareness, experience with health seeking behaviors and knowledge of schistosomiasis prevention amongst community members and teachers. FAST Package interventions included healthcare provider training delivered in online and in person formats; development of an Educators’ booklet to support schistosomiasis/FGS awareness creation among teachers, healthcare providers and community members; suspected FGS case detection; and advocacy for the provision of praziquantel in the primary health care system. Endline results included a cross-sectional survey and qualitative methodologies amongst community members and teachers, including Photovoice for women of reproductive health age exposed to FGS. This paper presents a description of the FAST Package project, the value of its holistic approach, and selected results from both countries. It discusses the lessons learnt highlighting some of the challenges and opportunities for integration within the health system.

The Influence of Fixed and Flexible Funding Mechanisms on Reward-Based Crowdfunding Success

This study examined whether fixed or flexible funding mechanisms influence crowdfunding success. Under the fixed funding mechanism, the pledges contributed to the crowdfunding campaign projects are returned to the backers if the project fails, whereas, under the flexible funding mechanism, the project creator can keep all the raised pledges, irrespective of whether the project succeeds or fails. Secondary data consisted of reward-based crowdfunding projects retrieved from The Crowd Data Centre. Logistic regression was employed to respond to research objectives. The results reveal that the fixed funding mechanism increases the probability of success more than flexible funding. Entrepreneur experience, spelling errors, and project description negatively affect crowdfunding success, and backers positively affect crowdfunding success. The findings guide entrepreneurs seeking financing to design and choose an appropriate funding mechanism that effectively reduces the failure rate. Although many entrepreneurs seek funding in the crowdfunding market, relatively little research has been conducted on the influence of flexible or fixed funding mechanisms on crowdfunding success in Africa. This study provides entrepreneurs with appropriate financing strategies that enhance crowdfunding success. The empirical literature indicates that the flexible funding mechanism creates distrust among backers due to unrealistic target amounts.

241 An All-Island Review of the Gaelic 4 Mothers & Others (G4M&O) Programme in Ireland

Abstract Purpose The Gaelic 4 Mothers & Others (G4M&O) initiative is a fun, non-competitive and recreational programme in Ireland for women to play Ladies Gaelic Football (LGF). The programme is aimed at women over 25 years of age who are not formally playing sport competitively. The initiative was introduced to community sports clubs in Ireland in 2008 by the Ladies’ Gaelic and Football Association (LGFA), and the programme now has over 500 sites across the island. The current study aims to assess the impact and benefits of the G4M&O initiative on; (i) participants, (ii) clubs and (iii) communities across Ireland. The research should inform the development of the G4M&O programme, providing critical insights for the LGFA and Sport Ireland. Project Description As part of this all-island study, a 12-week pre-post longitudinal research design evaluation will be undertaken in 2024, using established qualitative and quantitative research methodologies focusing on: 1) Participants involvement within the club; 2) Participants involvement within the community. A nationally representative sample of participants (N = 300 targeted) will be recruited through the LGFA, which is the main national governing body (NGB) for LGF participation in Ireland. A self-report validated online survey will be used to evaluate the impact of the programme on participants. Focus groups will also be conducted with a sample of participants (N = 40 targeted) across a variety of clubs exploring participants viewpoints and perspectives of the G4M&O programme. Data will be analysed quantitively using Statistical Package for the Social Sciences (SPSS) version 29 and qualitatively using Thematic Analysis (TA). Conclusions This study will contribute to a qualitative and quantitative understanding of the benefits and impact of G4M&O programme in clubs and communities and should inform how the G4M&O initiative can be developed across Ireland over the next 10-years. The study will align to the Irish National Sports Policy 2018-2027, given that increasing physical activity and sports participation are the cornerstones of this new policy. The study may inform further research to develop a model for use in other sports.

Implementing the WHO Indicators for Assessing Palliative Care Development in Three Countries: A Do-It-Yourself Approach

ContextPalliative care is an essential health service, with over 56.8 million people needing it yearly, particularly in low- and middle-income countries. The World Health Assembly has recognized palliative care as an ethical responsibility and called for comprehensive primary health care. The World Health Organization has published a technical report titled "Assessing the Development of Palliative Care Worldwide," as a crucial first step in addressing palliative care. The report includes 14 indicators to help decision-makers identify service provision gaps and inform health priorities, piloted by WHO's ATLANTES in Benin, Morocco, and Uruguay as part of a global assessment. ObjectivesTo describe, for the three countries, the primary outcomes and lessons learned to enable replication in further countries. MethodsA step-by-step description of the assessment project, a summary of the main results obtained through evaluations, and a description of how the selected countries effectively implemented the WHO indicators through a six-step process, including a phase of action plan design. We advocated a 'Do-it-yourself' approach. ResultsThe summary data from three country reports reveals national development at a national level. A SWOT analysis involving consultants and program managers was conducted. A stakeholder guide was developed, providing trigger questions and practical recommendations for assessing development using specific indicators. Full information can be found in the specific published reports. ConclusionThe WHO approach has proven effective in identifying health system deficiencies and disseminating information about palliative care evaluation processes. The report provides a 'Do-it-yourself' approach, encouraging self-management without expert guidance.

232 Enhance active ageing by promoting appropriate lifestyles through the endorsement of healthy behaviours in an ageing Region

Abstract Purpose The project “Friuli Venezia Giulia in Movimento, 10000 passi di salute” (Friuli Venezia Giulia (FVG) Region on the move, 10000 healthy steps) commenced in January 2019 with financial support from the FVG Region with the organizational support of a regional association (Federsanità ANCI FVG). The project’s primary objective is to engage municipalities, in collaboration with organized and spontaneous associations, in implementing initiatives to promote physical activity in an accessible manner for all citizens. This is achieved through funding to promote pedestrian paths in municipalities that have chosen to participate, as well as walking leader courses and gentle exercise activities for the elderly. The project involves subjects at different governance levels: region, the regional association, Municipalities, citizens’ associations, and citizens. Project or policy description Currently, 91 municipalities (42% of the FVG Region) are participating in the project, with 82 pedestrian paths covering a total length of over 400 km now open. Specifically, 52% of individuals over 65 and 56% of those under 15 will benefit from the activities organized along these paths. Additionally, two editions of walking leader courses have been conducted along the project’s pedestrian paths, with 500 participants, and two editions of gentle exercise activities for the elderly have been held in 19 municipalities, involving over 1150 individuals. Many Municipalities have also organized walks along the project’s pedestrian paths, often accompanied by cultural events. Traditional and social media channels have prioritised communication and dissemination of project initiatives. Furthermore, numerous citizen meetings have been convened to introduce the projects and related initiatives. The project has been continuously evaluated, with activity results documented in reports. The evaluation involves different phases and all the actors that the project is intended for with various tools: it is, therefore, a multilevel evaluation. Conclusions The project has significantly impacted promoting active ageing through various activities, including physical exercise, social engagement, well-being enhancement, and local area awareness. Given their conformation (flat and without particular obstacles), the regional tourism agency has promoted the pedestrian paths of the project within the context of slow, sustainable, and inclusive tourism.

S11-4: Reaching people with a disability in a small town–a practice perspective

Abstract Purpose It is well documented that people living with a disability often have restricted opportunities to participate in physical activity and may face significant barriers. This presentation provides a practice perspective on reaching, and providing inclusive, meaningful physical activity opportunities for children and adults living with disability in Ireland. Project or policy description While significant efforts have been made in Ireland and elsewhere to facilitate access, this presentation will provide insights from a Sports Inclusion Development Officer, working in a town in Ireland, on how providing facilitators (funding streams and a varied programme of activities) does not necessarily remove barriers for people with disability to access physical activity and participate. Conclusions There are problems in areas with low population density – small numbers of people with specific disabilities leading to no specific activities for specific disabilities. Clubs are providing options, in some instances, but they are often not easy to implement as the volunteer base has declined and many sports clubs focus on performance rather than participation. Sometimes they are difficult for those with disabilities to access and participate. Often, the policy and willingness for change is there at organisational level but at intervention level there are difficulties in implementation.

S14-1: EUPAP Feasibility Study. Practice transfer of a HEPA prescription model to other nine EU countries. From theory to practice

Abstract Purpose The Swedish Physical Activity on Prescription (PAP-S) method was to be transferred to other European regions through the EUPAP Project, innovative for implementing a reliable method to other nine countries. Implementation practices are strongly context-dependent; therefore, the practice transfer requires a flexible approach. PAP-S results over 20 years have reported success to a variety of populations. It addresses physically inactive individuals and/or with chronic conditions to improve their health by increasing their physical activity (PA) levels. The PAP-S five core components are: individualised patient-centred counselling, evidence-based PA recommendation, written prescription, community support, and follow-up. The goal was to know the context regarding PA prescription and ease the transfer from the Swedish context, specifically to: a) setting relevant PAP-S indicators for planning and monitoring, b) creating guidelines for data collection, c) providing an overview of the situation in each region, and d) assessing for readiness to implement the model. Project description Modified Hybrid e-Delphi process by representative from 10 countries. First, commitment from organisations to assume costs for the implementation. Second, description of variables and procedures for data collection. Data comprised two dimensions (ie, macro level (early diagnosis) and micro level (preparedness for implementation)). Third, data collection. Fourth, data analysis and discussion. Thirty-five experts participated in the EUPAP Feasibility Study. Guidelines for data collection includes indicators on macro level: a) EUPAP-relevant policy documents, b) profiles of prescribers and allied professionals, c) programmes, materials and training on HEPA, d) regulations, e) budget; and micro level: a) stakeholders, b) settings, c) agents, d) end-users. Country-specific results were collected, compared and discussed in relation to the core components of PAP-S (findings are accessible on www.eupap.org). Project partners disseminated the results among region-specific stakeholders. Conclusions Data showed regions with solid background to launch the EUPAP implementation (Flanders, Catalonia, Portugal) and others with less existing materials or weak network (Malta, Romania, Germany). Policy-makers, local health services and communities may better set short- mid- and long-term goals for the PAP-S transfer. Further design on practices and policies may use the Feasibility Study Guidelines for setting specific procedures. Funding Co-funded by the European Union’s Health Programme (2014-2020).

S02-4: How does the Hungarian Active Lifestyle Strategy address social inclusion?

Abstract Purpose The purpose of Sarolta MONSPART Active Lifestyle Strategy is to raise proportion of physically active people with a healthy lifestyle in Hungary. There is special focus on the engagement of senior citizens and people with disadvantaged background. Project description The Strategy is the first ever national policy document dedicated to the field of overall promotion of health-enhancing physical activities. Methods The development of the Strategy had been initiated by the State Secretary for Active Lifestyle. The University of Sport Sciences had been invited for the coordination of the Strategy’ development, which is based on outcomes of international policy document analysis and national stakeholder consultations. The Strategy identifies ten priority target areas and eight horizontal priorities. “Active seniors” and “Activation of socially disadvantaged groups”, which includes people with disabilities and people with unfavourable socio-economic background are also priority areas. The implementation of the Strategy is planned to happen on the base of the proposed actions in all priority target areas. Respective governmental and non-governmental organisations have been involved into the drafting of the Strategy. Based on their proposals for implementing actions, an action plan has been drafted. Respectively these organisations are also important actors during the delivery of the proposed initiatives. The evaluation of the implementation of the Strategy will be based on the proposed indicators, that are part of the Strategy in relation to each proposed action, also reflecting on the number of successfully implemented actions and number of participants. Dissemination of the strategy has already started during the drafting phase, by the involvement of ca. 50 organisations as consultative partners. After the official approval of the Strategy, communication will be ensured by the State Secretariat for Active Lifestyle and the implementing partners. Conclusions The State Secretariat for Active Lifestyle will monitor the implementation of the action plan and collect the well-functioning methods and practices. It is expected that a relevant network of professional organisations will be created in all priority target fields and those networks will be able to provide data and feedback on the proposed actions.

158 Evaluation of a multi-modal rehabilitation programme for people affected by cancer: the Active Together service

Abstract Purpose Rehabilitation (including prehabilitation) can help cancer patients prepare for and recover well from treatment, improve physical and psychological outcomes, and reduce demand on healthcare resources. Project description Active Together is a novel evidence-based multi-modal rehabilitation service for patients with cancer before, during and after their treatment. It was developed collaboratively by Sheffield Hallam University’s Advanced Wellbeing Research Centre (AWRC) and Sheffield Teaching Hospitals NHS Trust and funded by Yorkshire Cancer Research charity. The service is personalised to individual needs and includes exercise, nutrition, and psychological support. The service is delivered by a clinical team combining physiotherapists, exercise specialists, dietitians, and clinical psychologists at the AWRC and two community health and exercise facilities, with plans to extend to more sites as the service expands. Since launching in 2022, over 600 patients with either lung, colorectal, or upper gastrointestinal cancer have received support from the Active Together service. The evaluation of the service examines physical and psychological outcomes, alongside healthcare resource use. Service uptake and attrition rates will be examined by demographics such as age, gender, and ethnicity. The evaluation is due be completed in August 2024; therefore, the results will be available for this presentation. Conclusions The evaluation of this service will assess the feasibility and effectiveness of the Active Together Service in improving the lives of cancer patients, and addressing the health inequalities and barriers which may prevent someone from accessing the Active Together service. If the evaluation produces positive outcomes, it will support the case for embedding multimodal rehabilitation services within routine cancer care. Funding The Active Together service is funded by Yorkshire Cancer Research.

119 Addressing inequalities in participation: Developing an inclusive sport and physical activity system across Wales, UK

Abstract Purpose Sport and physical activity participation rates remain low and are particularly apparent in areas of deprivation, among girls and women, those with a disability and minority ethnic populations. In collaboration with Sport Wales (the Welsh Government sponsored body for sport in Wales), this project seeks to facilitate the development of an inclusive sport and physical activity system. Its aim is to identify key organisations and potential leaders where participation in sport and physical activity is low and engage them in finding solutions to these challenges. A specific objective of the project is to use insight and engagement from under-represented groups to drive physical activity and sport participation, amongst children and young people, forwards. Project description The project, undertaken in two phases, was commissioned by Sport Wales. It commenced in September 2023 and is due to finish in late 2024. Phase one includes a social network analysis via an online survey to map the existing sport and physical activity network in Wales. Both a formal and informal distribution strategy for the survey was adopted. The survey seeks to ensure sufficient responses to map the network of key stakeholders and identify previously unknown organisations and individuals. The mapping should enhance our understanding of the current network and identify potential new leaders. Phase two includes the development of a national stakeholder engagement group, made up of the organisations and individuals identified in phase one. This group will act as an advisory group to Sport Wales and produce an engagement plan to inform more effective strategies to target inequalities and under-representation in sport and physical activity participation. A process evaluation is embedded into the project. Conclusions and implications Identifying the organisations and leaders in sport and physical activity in areas where participation is low, and actively engaging them in a leadership group reflects a new approach. It demonstrates a commitment by a national organisation to foster collaboration and seek alternative solutions. The project has the potential to be innovative by developing new ways of working and providing solutions to address ongoing and significant challenges in sport and physical activity participation.

Comparative analysis of the dispersion modeling and dose projection results performed under BARCO international project

Radiological assessments on zones to take protective actions in case of a nuclear or radiological emergency involve a series of real-time forecasts of radiological impact on the public at various distances from the release point, using actual weather or forecast data, information on the source term or facility status, and primary radiation monitoring data. This practice is implemented during the operation of emergency centers around the world in order to promptly report the occurrence and possible consequences of radiological accidents in the country and abroad in the event of a possible transboundary impact. Since the Chornobyl disaster, a lot of emergency exercises, research programs and projects, in particular, benchmarking, have served as international platforms for improving modeling capacity in atmospheric dispersion. This activity is carried out both on the basis of past severe accidents with significant atmospheric releases and corresponding radiological consequences, and on the basis of specific conditional (hypothetical) events that are developed in accordance with the purpose of the study. The paper is focused on the comparison results performed under the international project “Benchmarking on Assessment of Radiological COnsequences” (BARCO) conducted in 2020–2021 between five technical support organisations – members of the European Technical Safety Organisations Network (ETSON). The work contains a short overview of relevant international activity conducted in the past, a description of the BARCO project and its objectives, a list of participants, project tasks, initial data (source term, meteorology, list of benchmarking quantities, approach to data exchange, codes used). The study presents some of comparative analysis results obtained via two techniques such as code-to-code analysis (CTCA) and matched-pair analysis (MPA). The results discussion concentrates on the overall recommendations for code users. Conclusions provide the main outputs of the project.

Balancing confidentiality and care coordination: challenges in patient privacy.

In the digital age, maintaining patient confidentiality while ensuring effective care coordination poses significant challenges for healthcare providers, particularly nurses. To investigate the challenges and strategies associated with balancing patient confidentiality and effective care coordination in the digital age. A cross-sectional study was conducted in a general hospital in Egypt to collect data from 150 nurses across various departments with at least six months of experience in patient care. Data were collected using six tools: Demographic Form, HIPAA Compliance Checklist, Privacy Impact Assessment (PIA) Tool, Data Sharing Agreement (DSA) Framework, EHR Privacy and Security Assessment Tool, and NIST Cybersecurity Framework. Validity and Reliability were ensured through pilot testing and factor analysis. Participants were primarily aged 31-40 years (45%), with 75% female and 60% staff nurses. High compliance was observed in the HIPAA Compliance Checklist, especially in Administrative Safeguards (3.8 ± 0.5), indicating strong management and training processes, with an overall score of 85 ± 10. The PIA Tool showed robust privacy management, with Project Descriptions scoring 4.5 ± 0.3 and a total score of 30 ± 3. The DSA Framework had a mean total score of 20 ± 2, with Data Protection Measures scoring highest at 4.0 ± 0.4. The EHR assessments revealed high scores in Access Controls (4.4 ± 0.3) and Data Integrity Measures (4.3 ± 0.3), with an overall score of 22 ± 1.5. The NIST Cybersecurity Framework had a total score of 18 ± 2, with the highest scores in Protect (3.8) and lower in Detect (3.6). Strong positive correlations were found between HIPAA Compliance and EHR Privacy (r = 0.70, p < 0.05) and NIST Cybersecurity (r = 0.55, p < 0.05), reflecting effective data protection practices. The study suggests that continuous improvement in privacy practices among healthcare providers, through ongoing training and comprehensive privacy frameworks, is vital for enhancing patient confidentiality and supporting effective care coordination.

Aligning Ambition and Reality: A Multiple Case Study Into Synergistic Influences of Financial and Other Factors on the Outcomes of Integrated Care Projects.

While the benefits of integrated care are widely acknowledged, its implementation has proven difficult. Together with other factors, financial factors are known to influence progress towards care integration, but in-depth insight in their influence on the envisioned outcomes of integrated care projects is limited. We conducted a multiple case study of four integrated care projects in the Netherlands. The projects were purposely sampled to be representative of integrated care in its different forms. A total of 29 semi-structured interviews were held with project members, both medical and non-medical staff. In addition, 141 documents were analyzed, including scientific publications and minutes of meetings. Based on elaborate project descriptions we deduced the synergistic influences of financial and other factors on the outcomes of the projects. Financial factors have an important influence on integrated care projects, though this influence is neither deterministic nor isolated. This is because the likelihood of realizing a positive outcome is affected by the degree to which four key conditions are fulfilled: 1) willingness to change, 2) alignment of interests and uniformity goal, 3) availability of resources to change, and 4) effectiveness of management of external actors. Financial factors have an impact on the outcomes of integrated care projects and must be viewed in synergy with interrelated other factors. Crucial for realizing success in integrated care, a balance must be struck between the level of ambition set in a project and the reality of the prevailing key conditions.

A naturally appearing family of Cantorvals

The aim of this note is to show the existence of a large family of Cantorvals arising in the projection description of primitive two-letter substitutions. This provides a common and naturally occurring class of Cantorvals.

The impact of sustainable development goals in lending-based prosocial crowdfunding: A topic modeling analysis on the kiva platform

In lending-based prosocial crowdfunding, where campaigns are specifically focused on entrepreneurial proposals that address significant social and environmental challenges, it is still not clear what factors are more likely to favor a campaign's success. The literature recognizes that project descriptions constitute a major source of information for funders and can influence their choice of whether to lend financial resources. Given the nature of lending-based prosocial crowdfunding, we focus on the presence of different sustainable development goal (SDG) themes in project descriptions, identified through topic modeling analysis, and we measure their impact on the success of a campaign. Using data collected from the Kiva platform, we show that some SDG themes have a negative effect, while others have a positive impact on the success of a campaign. The outcomes of this research contribute to overall scientific understanding of the phenomenon and provide useful insights for entrepreneurs and policymakers to increase the success of their campaigns and further spread lending-based prosocial crowdfunding.