Rapid Changes Research Articles

Group 2i Isochrysidales thrive in marine and lacustrine systems with ice cover

Global warming is causing rapid changes to the cryosphere. Predicting the future trajectory of the cryosphere requires quantitative reconstruction of its past variations. A recently identified sea-ice-associated haptophyte, known as Group 2i Isochrysidales, has given rise to a new sea-ice proxy with its characteristic alkenone distributions. However, apart from the occurrence of Group 2i Isochrysidales in regions with sea ice, and the empirical relationship between C37:4 alkenone abundance and sea-ice concentration, little is known about the ecology of these haptophyte species. Here, we systematically mapped the spatial and temporal occurrence of known Group 2i Isochrysidales based on environmental DNA in both marine and lacustrine environments. Our results indicate Group 2i is widely distributed in icy marine and lacustrine environments in both Northern and Southern Hemisphere, but is absent in warm environments. Temporally, Group 2i is part of the sea-ice algae bloom during the cold seasons, in contrast to other Isochrysidales that bloom in open waters during warm seasons. Our results indicate that ice is a prerequisite for the occurrence of the psychrophilic Group 2i haptophytes in marine and lacustrine ecosystems and further affirms its value for past ice reconstructions.

Enhancing Organizational Resilience: The Transformative Influence of Strategic Human Resource Management Practices and Organizational Culture

In an era characterized by rapid changes and uncertainty, organizational resilience emerges as a critical factor for the survival and prosperity of businesses. Confronted with a progressively volatile and unpredictable organizational landscape, an organization’s capacity to swiftly and effectively address challenges and adapt to changes becomes indispensable. This paper investigates the role of strategic human resource management (SHRM) practices and organizational culture (OC) in enhancing organizational resilience (OR). The research employed a questionnaire distributed to 501 employees within public institutions, with data analysis conducted using structural equation modeling. The study assesses the direct effects of SHRM practices on organizational resilience while also investigating the mediating effects of organizational culture on the relationship between these practices and resilience. The primary findings highlight both the direct and indirect impacts of SHRM practices on organizational resilience. The study underscores the importance of adopting an integrated approach, wherein SHRM practices and organizational culture are strategically aligned to bolster organizational resilience and secure sustainable success in a dynamic and turbulent organizational landscape.

Widespread seawater intrusions beneath the grounded ice of Thwaites Glacier, West Antarctica

Warm water from the Southern Ocean has a dominant impact on the evolution of Antarctic glaciers and in turn on their contribution to sea level rise. Using a continuous time series of daily-repeat satellite synthetic-aperture radar interferometry data from the ICEYE constellation collected in March-June 2023, we document an ice grounding zone, or region of tidally controlled migration of the transition boundary between grounded ice and ice afloat in the ocean, at the main trunk of Thwaites Glacier, West Antarctica, a strong contributor to sea level rise with an ice volume equivalent to a 0.6-m global sea level rise. The ice grounding zone is 6 km wide in the central part of Thwaites with shallow bed slopes, and 2 km wide along its flanks with steep basal slopes. We additionally detect irregular seawater intrusions, 5 to 10 cm in thickness, extending another 6 km upstream, at high tide, in a bed depression located beyond a bedrock ridge that impedes the glacier retreat. Seawater intrusions align well with regions predicted by the GlaDS subglacial water model to host a high-pressure distributed subglacial hydrology system in between lower-pressure subglacial channels. Pressurized seawater intrusions will induce vigorous melt of grounded ice over kilometers, making the glacier more vulnerable to ocean warming, and increasing the projections of ice mass loss. Kilometer-wide, widespread seawater intrusion beneath grounded ice may be the missing link between the rapid, past, and present changes in ice sheet mass and the slower changes replicated by ice sheet models.

Impact of nutritional risk factors on the development of multiple sclerosis

The literature review considers the data on the assessment of the influence of alimentary factors on the development of a severe neurological disease - multiple sclerosis (MS). MS is a polyetiologic disease, the risk of development of which is influenced by both infectious (Epstein-Barr virus, herpes simplex virus, influenza virus, etc.) and noninfectious factors (genetic predisposition, smoking, geographic region of residence, etc.). MS is a progressive demyelinating disease of the central nervous system (CNS), which leads to neurodegeneration accompanied by a variety of clinical manifestations. The pathogenesis of MS is characterized by immune-mediated damage to the myelin sheaths of nerve fibers, which is manifested by inflammation, neurosynaptic damage, and destruction of white matter, axons, and blood vessels. Rapid non-evolutionary dietary and lifestyle changes, which are driven by urbanization, industrialization and globalization of the food market, are leading to an increase in most chronic non-communicable diseases, including MS. The effects induced by alimentary factors are due to changes in the microbial composition of the gastrointestinal tract (GIT), immune cell function, enzyme systems functioning, etc. The aim of the work is to study the influence of micro/macronutrients, as well as the nature of the diet on the risk of MS development, to assess the role of nutrition in the primary prevention of MS. It has been shown that a diet characterized by a high content of animal fats and trans-isomers of fatty acids (TFA), increased consumption of meat products, but low content of vegetables, fruits and whole-grain products is associated with a higher risk of MS development. Regular inclusion in the diet of sources of polyunsaturated fatty acids (PUFAs) (vegetable oils, seeds, nuts, marine fish) and vitamin D (fatty fish, caviar, butter, egg yolk) leads to lower relapse rates and less new brain lesions among MS patients. The literature review was conducted using open sources posted in electronic databases: PubMed, Medline, Scopus, Google Scholar, World Bank publications, WHO, eLibrary, Cyberleninka, Web of Science.

Exploring Talent Management Practices and Corporate Social Responsibility in Finnish Companies

AbstractThe contemporary work landscape is characterized by rapid change and many evolving challenges. Therefore, companies are in increasing need for acquiring fresh knowledge and skills and human capital is acknowledged being a crucial asset for success in business world. The challenge persists in attracting, retaining and managing skilled employees. Though, the importance of corporate social responsibility (CSR) in talent management has been recognized, still there remains a gap in understanding how talent management is integrated into CSR of companies, particularly at the multilevel investigation level. A directed content analysis method was employed on CSR reports of 25 major Finnish companies to explore key talent management practices at normative, strategic, and operational levels, as well as the integration of talent management components into CSR reports. Normative values such as diversity, equity, and inclusion were consistently emphasized in the reports. However, the translation of these values into practical implementation often yielded abstract strategic principles rather than clearly defined operational practices. The companies have placed over reliance on standardized reporting methods rather than providing comprehensive insights into talent management practices.

An AI pipeline for garment price projection using computer vision

AbstractThe fashion industry’s traditional price-setting methods, based on historical sales and Fashion Week trends, are inadequate in the digital era. Rapid changes in collections and consumer preferences necessitate advanced Artificial Intelligence (AI) techniques. These AI methods should analyze data from various sources, including social media and e-commerce, to predict future fashion trends and prices. In this paper, we propose, apply, and assess a data analytics approach, i.e., FashionXpert, employing several image processing and machine learning techniques in an AI pipeline for garment price prediction. It integrates various heterogeneous data sources (e.g., textual and image data from e-stores, brand websites, and social media) to obtain more consistent, accurate, and beneficial information. We evaluated its effectiveness with an industrial data set obtained by a fashion search tool from the electronic commerce sites of clothing brands. FashionXpert predicted garment prices with an average Mean Absolute Error (MAE) of 15.31 EUR on a data set that has a standard deviation of 72.99 EUR.

Cultural Competence Interventions in European Healthcare: A Scoping Review

Europe is undergoing rapid social change and is distinguished by its cultural superdiversity. Healthcare is facing an increasing need for professionals to adapt to this environment. Thus, the promotion of cultural competence in healthcare has become a priority. However, the training being developed and their suitability for the European context are not well known. The aim of this qualitative study has been to map the scientific literature in order to comprehend the current state of research on this topic. For this purpose, we conducted a systematic scoping review of the empirical publications focused on cultural competence interventions for healthcare professionals in European countries. The search was conducted in eight thematic (PsycINFO, MedLine, and PubPsych) and multidisciplinary databases (Academic Search Ultimate, E-Journals, Scopus, ProQuest, and Web of Science) to identify relevant publications up to 2023. Results were presented qualitatively. Out of the initial 6506 records screened, a total of 63 publications were included. Although the interventions were implemented in 23 different European countries, cultural competence interventions have not been widely adopted in Europe. Significant heterogeneity was observed in the conception and operacionalización of cultural competence models and in the implementation of the interventions. The interventions have mostly aimed at improving healthcare for minority population groups and have focused on the racial and ethnic dimensions of the individual. Future research is needed to contribute to the conceptual development of cultural competence to design programs tailored to European superdiversity. This scoping review has been registered in OSF and is available for consultation.

Climate, wildfire, and volcanic ash drivers of ecosystem change in high mountain forests, British Columbia, Canada

Northwest North America has unique high elevation <i>Picea-Abies</i> forests and parkland classified in British Columbia as the Engelmann Spruce-Subalpine-fir (ESSF) Biogeoclimatic zone. These ecosystems occur on a topographically and climatically complex landscape, juxtaposed with diverse vegetation types including alpine tundra, inland rain forest, dry conifer forest, and grasslands. Spatio-temporal ecosystem disturbance is varied, driven by factors such as climate variation, wildfire, volcanic eruptions, and insect herbivory. A pollen and charcoal record derived from a lake sediment core from the ESSF reveals a unique late-glacial to modern vegetation history progressing from alpine steppe through dry open conifer forest to moist spruce-fir ecosystems, the latter arising only 4600 years ago; late by comparison to other ESSF sites in the region. Repeated disturbance in the mid Holocene by wildfire coupled with volcanic ash deposition and increased climatic variation resulted in recurring <i>Pinus contorta</i>-dominated seral forest stands before cooling and moistening in the late Holocene led to stable <i>Picea-Abies</i> forest. With rapid climate change, changing disturbance regimes, and timber harvest, the management of dry ESSF forests needs to consider that this forest-type could transform into parkland or open seral pine stands, with a high frequency disturbance regime.

DYNAMIC CAPABILITIES AND PERFORMANCE OF FAMILY BUSINESSES IN EMERGING ECONOMIES

Dynamic capabilities analyze the sources and methods of better performance and wealth creation and capture by firms operating in environments of rapid technological changes. Based on this, The objective of this research was to analyze the relationship between absorptive, adaptive, and innovation capabilities on financial and non-financial performance of family businesses was analyzed in the context of emerging economies, a relationship that has not been analyzed in this context. Through the application of structural equation modeling in a sample of 235 family businesses of agricultural supplies and machinery, located in the G46 and G47 categories of the International Standard Industrial Classification – ISIC, the results allowed us to identify that absorptive capability has a positive influence on financial performance, while innovation capability has a positive influence on no-financial performance. No evidence was found that other capabilities were related to the performance of the organizations analyzed. In addition, it was shown that the size of the companies does not generate any moderating effect in the relationship between these variables. This study contributes to dynamic capabilities theory by exploring how absorptive and innovative capabilities influence financial and non-financial performance in a specific and underexplored context: family businesses in emerging economies. Furthermore, the importance of developing and enhancing absorptive and innovation capabilities is highlighted. This could lead to the implementation of training programs, investment in R&D, and adoption of knowledge management practices.

Non-Destructive Detection of Cerasus Humilis Fruit Quality by Hyperspectral Imaging Combined with Chemometric Method

Cerasus Humilis fruit is susceptible to rapid color changes post-harvest, which degrades its quality. This research utilized hyperspectral imaging technology to detect and visually analyze the soluble solid content (SSC) and firmness of the fruit, aiming to improve quality and achieve optimal pricing. Four maturity stages (color turning stage, coloring stage, maturity stage, and fully ripe stage) of Cerasus Humilis fruit were examined using hyperspectral images (895–1700 nm) alongside data collection on SSC and firmness. These samples were divided into a calibration set and a validation set with a ratio of 3:1 by sample set partitioning based on the joint X-Y distances (SPXY) method. The original spectral data was processed by a spectral preprocessing method. Multiple linear regression (MLR) and nonlinear least squares support vector machine (LS-SVM) detection models were established using feature wavelengths selected by the successive projections algorithm (SPA), competitive adaptive reweighted sampling (CARS), uninformative variable elimination (UVE), and two combined downscaling algorithms (UVE-SPA and UVE-CARS), respectively. For SSC and firmness detection, the best models were the SNV-SPA-LS-SVM model with 18 feature wavelengths and the original spectra-UVE-CARS-LS-SVM model with eight feature wavelengths, respectively. For SSC, the correlation coefficient of prediction (Rp) was 0.8526, the root mean square error of prediction (RMSEP) was 0.9703, and the residual prediction deviation (RPD) was 1.9017. For firmness, Rp was 0.7879, RMSEP was 1.1205, and RPD was 2.0221. Furthermore, the optimal model was employed to retrieve the distribution of SSC and firmness within Cerasus Humilis fruit. This retrieved information facilitated visual inspection, enabling a more intuitive and comprehensive assessment of SSC and firmness at each pixel level. These findings demonstrated the effectiveness of hyperspectral imaging technology for determining SSC and firmness in Cerasus Humilis fruit. This paves the way for online monitoring of fruit quality, ultimately facilitating timely harvesting.

Reimagining care: effectiveness of modifying an adolescent eating disorder intensive service.

The COVID-19 pandemic prompted a surge in adolescent eating disorders and rapid changes in the delivery of intensive community treatments. This study investigates the modification from a group-based day programme to an intensive family treatment approach. A retrospective chart review was performed on data from 190 patients who accessed the intensive service for anorexia nervosa in the past 6 years. Outcomes from the traditional model were compared with the new intensive family model, namely length of admission, percentage median body mass index difference and transfers to in-patient services. There was a significant reduction in the length of intensive treatment (from 143.19 to 97.20 days). The number of transfers to specialist eating disorder in-patient services also significantly reduced, and is decreasing year on year. The findings hold particular relevance as intensive services for adolescent eating disorders continue to be established within health services, with no clear unified approach to treatment.

Cross-border Retail E-Commerce and De Minimis: The Case of Kazakhstan

The development of international e-commerce has expanded opportunities for business and consumption in Kazakhstan and worldwide. However, these rapid changes have challenged the governments’ regulation of the flow of cross-border goods, ranging from clearance to customs duty and taxes collection. Among concerns is the flow of low-value consignments, the impact of which had previously been seen as beneficial. This paper examines whether cross-border e-commerce and the de minimis threshold are advantageous in Kazakhstan based on context, description, cause-and-effect and statistical analysis. The findings show a partial impact of de minimis threshold changes on the increase in retail e-commerce goods imported and on the decrease in the value of mis-declared goods; however, in Kazakhstan the consequences from the import of mis-declared low-value goods on the tax revenue are insignificant. Misuse of the de minimis threshold in Kazakhstan is confirmed by the study. Government actions for solving this problem involve giving higher priority to people’s access to higher quality and/or cheaper personal use goods. Also, the potential for further improvement of statistics on cross-border e-commerce is identified.

Removing a colonial anachronism - The decolonization of heritage in the 1970s Hong Kong

Abstract This article explores the decolonization of heritage politics in 1970s Hong Kong. It firstly revisits recent scholars’ work on Hong Kong heritage politics and the transformation of Hong Kong’s cultural identity. It shows how people’s perceptions of their colonial heritage and history in Hong Kong have changed since the 1970s. Secondly, it outlines the city’s cultural heritage policy framework after the 1967 Riots, inspired by the Cultural Revolution. It analyses how the colonial government intentionally rebranded the city’s colonial heritage as an anachronism to justify its new narrative of Hong Kong and its cultural identity in the 1970s. It also employs the demolition of the former Kowloon Railway Station building in the 1970s as a case study to discuss how the colonial government decolonized local colonial structures through its new cultural heritage policy approach after the Riots. Finally, by employing the case study of the demolished Central Star Ferry Pier in the 2000s, this article argues there was a change in people’s perceptions of the city’s colonial history in the early postcolonial period of Hong Kong. A more active notion of Hong Kong’s cultural identity is also being articulated in the uncertain future due to the city’s recent rapid political and social changes influenced by the mainland authority.

A Geospatial Model of Periurbanization—The Case of Three Intermediate-Sized and Subregional Cities in Chile

Throughout the 20th century and in the first decades of the 21st century, the geospatial dynamic exhibiting the highest rate of change globally corresponds to urban expansion surrounding metropolitan areas and large cities. Around intermediate-sized cities, there have also been rapid changes in their geographical space, but study in these areas has had less academic attention and development. Considering this context, this article intends to analyze the dynamics in the periurbanization of communes with intermediate-sized cities. In this study, three geographical criteria were defined for the definition of the study area and seven geospatial indicators of sociodemographic, socioeconomic and land occupation categories, with the purpose of determining the composition of the periurbanization process. Finally, the discussion presents a perspective on the dynamics of periurbanization, the interpretation of future projections identifying three geospatial phenomena and a proposal for a geospatial chorematic model with the composition of periurbanization, based on three subregional intermediate-sized cities in the Metropolitan Region of Santiago de Chile. This research contributes new reflections to the debate around spatial planning and periurban research in Latin America and the Global South.

Причины трещинообразования и признаки деформации угольного пласта в зоне вибрационного воздействия

The use of vibration effects for the effective preparation of a low–permeability coal seam is a fairly promising and constantly improving process. The main difficulty of theoretical research is the fact that coal seams are very diverse in their properties and represent a complex environment. Under the influence of vibration, the capacitive and filtration characteristics of the coal massif change. This leads to a change in the structure and capacity of the porous-fissured space of coal. This reaction finds a good explanation: each act of vibration action causes a rapid change in the coal mass in accordance with the operating stresses during vibration. This point of view was used as the basis for theoretical reasoning, in order to justify the rational impact of directional vibration on the coal seam, to change fracturing and further intensify methane recovery. This is confirmed by both laboratory and industrial experiments on vibration effects. Changes in the environment after strong earthquakes are of a similar nature, even at great distances from the source of the impact. Therefore, the simplest in terms of constructive implementation and less costly in terms of energy and material consumption is a directed oscillatory process on a low-permeability coal seam, which is performed using vibration installations of both surface and underground design.

Numerical study of aerodynamics drag and flow characteristics of the high-speed train head design

A native design of the Indonesian high-speed train has been developed as an improvement of the previous medium-speed train model. As the design speed is proposed to be increased from 160 km/h to 250 km/h, the nose shape and nose length of the train head were modified into a sharper and longer nose. In this study, numerical simulation of computational fluid dynamics was used to investigate the aerodynamic phenomena and flow behavior around the modified train head and carbodies. The CFD simulation was used as the verification of the shape design and a tool for rapid design changes and optimization. The model configuration is three cars on a real scale by ignoring other parts like the train window and door, pantograph, and train connecting. A k-ε turbulence model was used in the simulation. From this investigation, it is found that the coefficient of drag on the model is calculated to be 0.34. Meanwhile, an experimental wind tunnel test validates the result with a coefficient drag is 0.38 or 10% divergence from the numerical method.

Parenting beliefs and practices as precursors to academic outcomes in Chinese children.

Due to the rapid sociocultural changes in China, Chinese parents' childrearing beliefs and practices have undergone dramatic transformations. Against this context, this study examined whether Chinese parents' endorsement of progressive and traditional childrearing beliefs would predict children's academic achievement, as well as whether parenting practices would mediate this association. This study utilized a longitudinal design and followed 206 Chinese families for 2 years from the end of preschool to Grade 2. Parents showed greater endorsement of progressive than traditional childrearing beliefs, as well as higher use of authoritative than authoritarian parenting practices. Parents' childrearing beliefs in preschool predicted children's math achievement in Grade 2 via authoritative parenting. However, parenting beliefs were unrelated to authoritarian parenting, and authoritarian parenting did not predict any of the child academic outcomes in Grade 2. The findings suggest Chinese parents' orientations toward progressive parenting beliefs and authoritative parenting practices. They also highlight the utility of parenting beliefs in explaining disparities in early academic achievement. The nonsignificant findings pertinent to authoritarian parenting call for re-examination of the cultural meaning and effects of authoritarian parenting in Chinese society.

Soil and climate‐dependent ingrowth inference: broadleaves on their slow way to conquer Swiss forests

Forests provide essential ecosystem services that range from the production of timber to the mitigation of natural hazards. Rapid environmental changes, such as climate warming or the intensification of disturbance regimes, threaten forests and endanger forest ecosystem services. In light of these challenges, it is essential to understand forests' demographic processes of regeneration, growth, and mortality and their relationship with environmental conditions. Specifically, understanding the regeneration process in present‐day forests is crucial since it lays the foundation for the structure of future forests and their tree species composition. We used Swiss National Forest Inventory (NFI) data covering vast bio‐geographic gradients over four decades to achieve this understanding. Trees that reached a diameter at breast height of 12 cm between two consecutive NFI campaigns were used to determine regeneration and were referred to as ingrowth. Employing three independent statistical models, we investigated the number, species, and diameter of these ingrowth trees. The models were subsequently implemented into a forest simulator to project the development of Swiss forests until the mid‐21st century. The simulation results showed an ingrowth decrease and a shift in its species composition, marked by a significant reduction in Norway spruce Picea abies and concurrent increases in broadleaves. Nevertheless, the pace of this change towards climatically better adapted species composition is relatively slow and is likely to slow down even further as ingrowth declines in the future, in contrast to the fast‐changing climatic conditions. Hence, support through adaptive planting strategies should be tested in case ingrowth does not ensure the resilience of forests in the future. We conclude that since the regeneration of forests is becoming increasingly challenging, the current level at which ecosystem services are provided might not be ensured in the coming decades.

Biogeographic isolation and climate shape the evolutionary heritage of Neotropical inselbergs

AbstractAimQuaternary climatic shifts can explain the current distribution of ancient ecosystems as well as the current distributions of gradients that hold species richness and diversity of several lineages in old, climatically buffered, infertile landscapes (OCBILs) as inselbergs. Thus, the combination of phylogenetic approaches and temporal landscape connectivity allows disentangling the mechanisms involved in the origin of the disjunct distribution of plant species and the evolutionary heritage of Neotropical inselbergs.LocationBrazilian Atlantic Forest and Caatinga.Time PeriodPliocene until the current period.Major TaxaAngiosperms.MethodsWe used a compiled data set of 42 inselbergs across the Atlantic Forest and Caatinga biomes in eastern Brazil to describe their structure and phylogenetic diversity and map the landscape resistance distances and the effects of resistance on their phylogenetic beta diversity. We also aimed to identify the effectiveness of protected areas and gaps in the conservation of plant species in Brazilian inselbergs.ResultsWe found evidence of dispersal limitation in the inselberg species pool and a latitudinal gradient in plant species richness and phylogenetic diversity across the Neotropical inselberg landscape, with greater isolation between the northeastern and southeastern core areas. Our findings indicate that inselbergs can lead to a high turnover of phylogenetic diversity, thus imposing distinctiveness on the evolutionary lineages of the inselberg flora.Main ConclusionsOur results suggest that the current distribution of inselberg's flora in isolated ecosystems may result from a more connected distribution of this flora in the past, as postulated by the Pleistocene habitat fluctuations. However, the patterns of diversity have probably been influenced by events much older than Quaternary climate shifts, due to inselbergs climate stability areas (refugia) since ancient periods. Conservation of mountain vegetation is a crucial strategy for maintaining biodiversity and distinct phylogenetic lineages in the current rapid global climate and land use change scenario.

The delivery of creative socially prescribed activities for people with serious mental health needs during lockdown: Learning about remote, digital and hybrid delivery.

Social prescribing interventions connect mental health service users to community resources, to support physical and mental wellbeing and promote recovery. COVID-19 restrictions impacted the delivery of socially prescribed activities, preventing face to face contact for long periods. The aim of this study was to understand how Voluntary Community and Social Enterprise (VCSE) organisations working with a local NHS mental health Trust responded to the challenges of social distancing during the COVID-19 pandemic. This understanding will be used to make recommendations for future practice, post-lockdown. Using a convergent mixed methods design, we surveyed VCSE providers of socially prescribed activities intended to be accessible and appropriate for people with severe mental health needs. Follow-up interviews explored further how they adapted during the first year of the pandemic, the challenges they faced, and how they sought to overcome them. The survey and interview data were analysed separately and then compared to identify convergent and divergent findings. Twenty VCSE representatives completed the survey which provided a snapshot of changes in levels of connection and numbers reached during lockdown. Of 20 survey respondents, 11 participated in follow-up interviews. Interviews revealed that lockdown necessitated rapid change and responsive adaptation; activities were limited by resource, funding, safeguarding and government restrictions; no single format suited all group members; connection was key; and impact was difficult to gauge. VCSE organisations commissioned to deliver creative socially prescribed activities during the pandemic rapidly adapted their offer to comply with government restrictions. Responsive changes were made, and new knowledge and skills were gained. Drawing on experiences during lockdown, VCSE organisations should develop bespoke knowledge, skills and practices to engage service users in future hybrid delivery of arts, sports, cultural and creative community activities, and to ensure that digital activities offer an equivalent degree of connection to face-to-face ones. Additionally, more effective methods of gaining feedback about patient experience of hybrid delivery is needed.