Smart Steps Research Articles

Assistive technology in neurorehabilitation has the potential to reduce caregiver burden, care costs and increase individual autonomy. This study aimed to investigate the feasibility and efficacy of a voice-controlled artificial intelligence application (Smart Steps AI) in supporting the occupational performance of domestic activities of daily living in persons with an acquired brain injury. This study adopted a single participant, ABA introduction/withdrawal single case experimental design. A sequence performance scale was developed to assess the target behaviour. The Behavioural Rating Scale for Executive Function – Adult Informant Report Form was used a control measure. The Kettle Test was used as a generalisability measure. A learning effect was observed across the phases. Smart Steps AI showed limited therapeutic impact with the participant and requires further refinement before broader implementation. This study is the first known study of its kind to use artificial intelligence to supplement occupational performance following a brain injury. This study is considered a pilot project and future research should attempt to replicate the study.

SMART Steps to HBV Cure.

Aims: UK National Institute for Health and Care Excellence Guidelines recognise the importance of effective family and carer involvement in ensuring good patient care and outcomes.We aim to embed infrastructural changes supporting carer involvement through Cygnet’s Model of Acute and Rehabilitation Care (CMARC), embed rolling audit processes ensuring maintenance of standard adherence across wards and optimise carer support services at Churchill Hospital.Methods: Triangle of Care (TOC) is an alliance between patient, carer and therapeutic staff. The Carers Trust’s TOC partnership (CTTOCP) accreditation was identified as a basis of the initial audit criteria.Stakeholders were identified and on boarded which included: Cygnet Healthcare Senior Steering Group (CHSSG); Hospital Senior Management Team (SMT); Lambeth Carer’s Hub (local community services) and Carer’s Advocacy Service (CAS). Carer information packs and feedback forms were created by CHSSG and personalised by the Hospital Carer Lead Team (HCLT) for each ward (multidisciplinary clinical and administrative staff) with LCS/CAS sited.Interventions implemented across 3 audit cycles included 3 areas: formalising communication across stakeholders (shared calendars; audit and carer communications in SMT/Heads Of Department Meetings and Clinical Governance Reports); increasing HCLT personnel (recruitment; Carer Awareness Training and intra hospital promotion); administrative changes (introduction of Carer Communication forms (CCF) clarifying consent status and Carer communication log tables created to improve consistency in record-keeping in ward rounds) and carer engagement initiatives (monthly inter-disciplinary topic-based carer events delivered by HCLT tailored to carer feedback).Significant changes in results were achieved after the introduction and subsequent iteration of the infographic Carer Involvement Protocol, which aligns with CMARC and Audit criteria in achievable SMART steps. This was disseminated at Stakeholder and HCLT meetings.Results: An audit was carried out in April 2024 with compliance to standards being 87% for rehabilitation and 68% acute wards. Limited carer communication was in place with ad hoc feedback provided. Triangle of care Accreditation was achieved in May 2024. Audit Cycles 2 and 3 in September 2024 and November 2024 both resulted in 100% adherence.Carer engagement has significantly improved with an increase in attendance overall since conception of monthly events by 28%.Conclusion: There has been significant improvement in the infrastructure of carer services at Churchill Hospital which has relied upon the inter-disciplinary, multi-tiered teamwork and resulted in positive feedback from carers and patient outcomes.Expert-by-experience led carer events are being introduced in February 2025 with aims to further develop community links and achieve TOC 2 star accreditation.

Health services, including in the form of health counselling and traditional medicine, are one of the most elementary health service programs considering the level of the ratio of the population to the centre, health service units and health workers who do not meet the ideal balance, so a breakthrough and smart steps are needed in responding to this. I was counselling on the Use of Lime (Citrus aurantifolia) as a Pharmaceutical Preparation in the Making of Mouthwash (Mouthwash) and Hand Sanitizer ( Antibacterial Hand Sanitizer) with the aim of improving the degree of health in the mouth and using Lime as a hand sanitiser. The methods of these activities are identification of the target objectives of the training, tools and materials used, good communication methods that are easy to understand, visualisation, evaluation, and feedback so that it can be concluded that counselling on the use of Lime as a pharmaceutical preparation in the manufacture of Mouthwash and Hand Sanitizer is a concern for healthy living in the surrounding community for the better. Thus creating a healthy and prosperous society.

The global average temperature has increased by about 1°C compared to pre-industrial times and the temperature increase continues. The effects of climate change are already affecting living conditions on Earth. Through the Paris Agreement, the countries of the world have committed to limit global warming to below 2°C compared to pre-industrial times and to make efforts to keep the increase below 1.5°C. The transportation sector accounts for about 15% of Turkey's greenhouse gas emissions, and more than three-quarters come from diesel fuel. Already in ten years, transport emissions must be reduced by 70% according to the national targets. It is about both reducing emissions by 2030 but also ensuring that we are completely emission-free by 2050. The vast majority of emissions in the transport sector come from road traffic. Electric vehicles have emerged as the most promising solution to energy and environmental security concerns. However, a major constraint for electric vehicles has been the limited range and fast charging capacity. Various electric road technologies have great potential to reduce dependence on fossil fuels, reduce greenhouse gas emissions, reduce air pollution, and reduce noise in urban areas. This article proposes to discuss the inductive and conductive charging system and required system configuration in the concept of electric roads for electric buses. The model solution algorithm is designed and it is validated on the E-bus route R40 in Kayseri City, Turkey. It is found that if an electric road system is used instead of a diesel bus for a bus line route of 35.5 km, it will amortize itself in 10 years.

In order to leave our children not with a huge problem in the future, we quickly have to realize the energy transition to renewable and CO2 neutral sources and circuits, which implies the introduction of the complete H2 economy. In addition, the ever ongoing demand and progress in electronics requires new and smart steps from the semiconducting industry pushing the border for device fabrication and thus material science and nanotechnology.Both extremely important topics crucially depend on the complete understanding of the fundamental atomic processes for device or catalyst manufacturing by electrodeposition as well as their stability during operation under (electrochemical) application.The general problem, however, has been formulated nicely already by Wolfgang Pauli:„God made the bulk; surfaces were invented by the devil.“It took around two decades, before most of the basic concepts and atomic effects have been observed and understood in standard, ultra-high vacuum (UHV) surface science and nanotechnology. Now, it is surely time to open a similar book and start from scratch, as atoms and surfaces in electrochemical environment clearly behave differently than in UHV. Moreover, this time it is not enough to measure after the deposition, after the growth, after the nucleation, or after a reaction!Both electrochemical data clearly show that many surfaces change during application and the complex understanding during electrodepostion, which involves a huge parameter space of tunable variables, can surely only be addressed adequately by in operando measurements.In this talk, I will show examples from in operando measurements ranging from STM over TEM to SXRD and X-ray photoelectron spectroscopy that all demonstrate the power and perspective for gaining new insight. Figure 1

Este artigo apresenta a experiência do Estado do Espírito Santo na obtenção de dados turísticos a partir de informações de uso de telefonia móvel. O avanço tecnológico do setor de comunicação móvel, o aumento nas taxas de penetração nos mercados, sejam estes desenvolvidos ou em desenvolvimento, tornaram os telefones móveis parte da vida cotidiana. Em todo mundo é crescente o número de pesquisas relacionadas ao turismo em que são utilizados dados de telefonia móvel. Neste sentido, o objetivo principal deste estudo é apresentar a metodologia utilizada para a obtenção e análise de dados turísticos, de viagens domésticas, por meio de Big Data através de registros de telefonia móvel no Estado do Espírito Santo, sudeste do Brasil. Para tal, a Secretaria de Estado do Turismo do Espírito Santo firmou um contrato com a empresa Telefônica Data S.A., utilizando a tecnologia denominada “Smart Steps”, para a realização de pesquisas turísticas em 20 municípios e uma análise de todo o estado. Os dados utilizados correspondem a temporada de verão (janeiro) dos anos de 2016 e 2017. Com os resultados será possível auxiliar e orientar a gestão do turismo.

Over the past decade, relationship education has grown as a means of enhancing couple relationships. This longitudinal study was designed to examine the experiences and outcomes of 2,828 adults who participated in the Smart Steps for Stepfamilies: Embrace the Journey program. Self-report measures of relationship quality, commitment, and relationship instability were administered prior to participation, then immediately, 6 weeks, 6 months, and 1 year after participation. A three-level growth-curve analysis using hierarchical linear model suggested that stepfamily participants experienced small but statistically significant immediate increases in relationship quality and stability, but those gains diminished over time. The statistical analyses tested for moderating effects of individual and couple characteristics on programmatic outcomes over time. Application of these findings and implications for relationship education for stepfamilies are discussed.

Falls are associated with enormous costs in morbidity and early mortality, as well as loss of safe, independent lifestyles for community-dwelling older adults. The purpose of this quality improvement project was to implement an author-designed, easy-to-remember guide to fall prevention for community-dwelling older adults and enhance their awareness and knowledge of fall risks in the home. A Four Smart Steps Fall Prevention program (exercise, eye exams, home safety, and primary care visits) presented fall prevention education for community-dwelling older adults. The project was implemented at a senior center by registered nurses and evaluated through an anonymous questionnaire. The desired outcome was an increase in safety awareness and knowledge of fall prevention for community-dwelling older adults. Community-dwelling older adults with enhanced education on fall prevention will be more likely to be able to live independently within a safe environment.

Smart Steps for Psychiatric Education: Approaching Smartphone Apps for Learning and Care.

Smart Home is a flourishing technology of 20th century. It integrates of many new technologies through home networking for improving quality of human’s life. Intelligent Home trade has drawn goodish attention of researchers for quite a decade. Smart Home technology is a combination of network and services and much more consequently, this paper focuses on various topics in smart home technologies from surveying for smart home research projects and presents a survey of all such systems and covers advantages of smart home systems, smart steps and simple components to install smart homes. So, the presented paper can be cookbook of ideas for who ever want to learn this blossoming technology.

Abstract Present day’s crucial corporate competition proving the real time presence of ‘Darwin’s theory - Survival of the fittest’ in the global industrial scenes. Consequently, the managers are pressed hard to take smart steps for organizational continuous improvement. The above causes organizational chaos, since humans have the innate habit to resist the change.The article suggests the logic over the change leader’s selection of the best suited transformational criteria from the variety of change management models for smart organizational transformation process. The study results support the selection of ADKAR Model being one of the best to deal with the OSUVA case conditions due to having an ability to highlight the problem areas at each change process stage through barrier point identification perspective.

This study describes a study on waste management in Indonesia. Wastes produced by the inhabitants of Bunaken Island and transported by sea from Manado city, contribute to the destruction of the marine ecosystem in Bunaken National Marine Park. Urgent and smart steps need to be taken in order to manage the waste on the island and its sea shore. This study elaborates on a multiparty collaboration program in environmentally sound waste management as an effort to mitigate the impact of waste on the Bunaken sea garden ecosystem. The program covers waste management, community empowerment and a common vision to reduce waste from its source. Its flagship program is the community-based Bank. The program included socialization of the Rubbish Bank, setting up of a waste management hierarchy and feedback from the community. Due to its approach and scope, this study provides a best-practice example of local community-based initiatives to manage waste in a developing country context, by establishing Rubbish Bank and its technical guidance so that the program can be applied and replicated easily by any other community.

This study analyzes the relationship between facilitator effectiveness ratings and several facilitator characteristics. Characteristics include professional and personal experiences as well as demographics. Participants attended Smart Steps, a relationship education course for stepfamilies, which was offered through community agencies. There were 858 participants with an overrepresentation of low-income and Latino participants. Facilitators who had specific training in Smart Steps and facilitators who had stepchildren of their own had higher effectiveness ratings. A regression model identified that both of these variables along with being female were significantly associated with higher effectiveness ratings as reported by the participants.

This study examined the financial management practices of 62 participants in Smart Steps stepfamily education courses 1 year following their course completion. Qualitative interviews revealed 29 participants changed their financial practices as a result of the course, 29 did not change, and 4 provided unclear responses. Common reasons for no change included having functional practices that predated the relationship education course or financial difficulties remaining, despite course participation. Common reasons for change included working together as a couple and implementing budget or saving practices. Latino participants were more likely to report change than were European Americans. Findings and implications highlight both the opportunities and challenges associated with teaching financial education as part of a relationship education program.

Relationship education programs can serve as a resource to families in developing and maintaining strong familial relationships, particularly for underserved populations. This qualitative study focuses on effective strategies, used by 14 facilitators, to teach Latino participants attending Smart Steps: Embrace the Journey stepfamily education courses in a western state. Results indicated two major themes regarding culturally appropriate strategies. The first dealt with classroom management and the approach of the facilitators, which included three subthemes: encouraging class discussion and sharing, applying cultural understanding, and recognizing the importance of the parent–child relationship. The second major theme addressed modifications to the program curriculum.

Life Experiences Make Leaders Who They Are

Stepfamily education programs are becoming increasingly common. While research on these programs is also increasing, the extant literature tends to be quantitative and cross-sectional. To more fully understand the stepfamily education experience, this case study focuses on the perceptions, feelings, and reports of one participating couple in the Smart Steps program. The nuances and complexities of this single case highlight the sequentiality and reasons for seeking out and participating in stepfamily education. A holistic portrayal of the perceived benefits of attending is also provided, including improvements with spouse, ex-spouse, and children.

To assist scholars and practitioners involved with marriage and relationship education for diverse audiences, this article establishes new and verifies already existing strategies to recruit and retain couples in stepfamilies. We examine recruitment and retention strategies used by 10 different agencies who offer the Smart Steps program to low-income stepfamilies. Qualitative interviews were conducted with 20 facilitators and 40 participants. Many of the identified strategies were consistent with related research regarding the use of incentives, minimizing costs, and removing logistical barriers. Additional strategies and implications were identified including the cultivation of trust, using personal contacts, involving children and incentivizing youth attendance, tapping into the interests and motivations of potential participants, and advertising common stepfamily problems conjointly with the promise of helpful solutions.