Universitat Oberta de Catalunya
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Background Emerging technologies and societal changes create new ethical concerns and greater need for cross-disciplinary and cross–stakeholder communication on navigating ethics in research. Scholarly articles are the primary mode of communication for researchers, however there are concerns regarding the expression of research ethics in these outputs. If not in these outputs, where should researchers and stakeholders learn about the ethical considerations of research? Objectives Drawing on a scoping review, analysis of policy in a specific disciplinary context (learning and technology), and reference group discussion, we address concerns regarding research ethics, in research involving emerging technologies through developing novel policy that aims to foster learning through the expression of ethical concepts in research. Approach This paper develops new editorial policy for expression of research ethics in scholarly outputs across disciplines. These guidelines, aimed at authors, reviewers, and editors, are underpinned by: a cross-disciplinary scoping review of existing policy and adherence to these policies; a review of emerging policies, and policies in a specific discipline (learning and technology); and, a collective drafting process undertaken by a reference group of journal editors (the authors of this paper). Results Analysis arising from the scoping review indicates gaps in policy across a wide range of journals (54% have no statement regarding reporting of research ethics), and adherence (51% of papers reviewed did not refer to ethics considerations). Analysis of emerging and discipline-specific policies highlights gaps. Conclusion Our collective policy development process develops novel materials suitable for cross-disciplinary transfer, to address specific issues of research involving AI, and broader challenges of emerging technologies.
Digital well-being, which refers to a balanced individual experience of digital consumption, has been gaining attention recently in the study of the effects of digital technology use. Social networks are central in debates over digital well-being, as social media overuse is often identified as a primary issue. Teenagers who spend an average of three hours daily on social media especially draw the attention of researchers. Based on statistical evidence, TikTok is the most popular network among young users worldwide. However, there are not many platform-specific studies on its effects on adolescent well-being. One of the most consistent gaps is the lack of research on how different aspects involved in TikTok use impact adolescents’ digital well-being on the app. In light of this, the study aimed to explore the relationship between time spent on TikTok, content consumption, and self-perception of digital well-being. Given the scientific consensus on social media’s greater impact on girls, this study also sought to examine gender differences. For that purpose, a quantitative cross-sectional study was conducted with 737 Spanish adolescents aged 12 to 18, who completed an online questionnaire with validated scales and items on daily usage time, type of content consumption, and digital well-being. Results showed significant gender differences in TikTok usage and content consumption: girls spent more time on TikTok and notably engaged more with beauty and fashion content, while boys with video games and sports content, suggesting that traditional gender roles are still present in their choices of content consumption. Beyond that, a rather positive self-perception of digital well-being on TikTok by teenagers was observed. Despite this, an increased TikTok usage was associated with a reduced ability to set boundaries and limit their time on the app. These findings highlight the need for measures to limit the time adolescents spend on TikTok, such as mandatory parental controls on electronic devices and educational programs aimed at promoting healthy digital habits.
Society - and the way it is organized - along with families, shapes who is available and suitable as a partner, who we encounter, what traits we seek in a partner, and who we form relationships with. In turn, our partner choices impact society at large. Given this bidirectional relationship, partner selection is expected to evolve alongside broader societal changes influenced by factors such as economic shifts, wars, migration, and sociocultural transformations like secularization, feminist movements, and sexual revolutions. The central question of this special issue is how societal transformations have influenced long-term trends in partner preferences and choices. This is being explored through new sources - online genealogies, matrimonial and contact advertisements, data from marriage agencies and dating apps – and approaches.
This study investigates the impact of habitual late calorie intake on glucose metabolism in adults with overweight or obesity and diet or metformin-controlled prediabetes or type 2 diabetes independently of body weight, fat mass, energy intake or diet composition. Participants (n = 26) were classified as Later Eaters (LE) if ≥45% daily calories were consumed after 5 pm and Early Eaters (EE) if not, based on daily caloric intake assessed over 2-wk. EE and LE did not differ in anthropometrics or daily energy intake, but LE consumed more carbohydrates (p = 0.038) and fats (p = 0.039) after 5 pm. Fasting glucose, insulin, and C-peptide did not differ between groups but LE exhibited higher glucose concentrations after an oral glucose tolerance test (p = 0.001), even after adjusting for body weight, fat mass, energy intake and diet composition (p < 0.05). Glucose results remained when participants with T2D were excluded (p = 0.031). After diabetes status adjustment, differences in glucose concentrations were higher in LE for time 30 (p = 0.028) and 60 min (p = 0.036). LE, compared to EE, had poorer glucose tolerance, independent of body weight, fat mass, daily energy intake and diet composition. ClinicalTrials.gov: NCT04465721.
The COVID‐19 outbreak triggered a combined health, social and economic crisis, imposing multiple restrictions that altered the use and perception of public green and blue spaces (PGBS). In this article, we explored how the different stages of the COVID‐19 pandemic restrictions affected the use and perceptions of public greenspaces and seafront in gentrifying neighbourhoods, focusing specifically on women and non‐binary residents. We conducted a comparative analysis of two densely populated neighbourhoods in Barcelona, Spain, employing a participatory mixed‐methods approach including surveys, focus groups, participatory walks and semi‐structured interviews. We collected the perceptions from women and non‐binary residents for the pre‐pandemic period, the lockdown period and the period during the post‐lockdown gradual ease of restrictions. Our findings reveal that during the COVID‐19 lockdown, the use of neighbourhood PGBS was maintained or intensified, highlighting the existing deficit in the denser areas of the city. However, post‐lockdown, use patterns changed, with differences based on neighbourhood characteristics and gentrification pressures. This suggests that while COVID‐19 seemed to temporarily impact how people used PGBS, these changes were rapidly reversed once mobility restrictions were lifted. During and after the pandemic, PGBS facilitated informal care networks and community cohesion that helped residents endure the impacts of the pandemic, but the return of gentrification and touristification pressures disrupted these networks, heightening feelings of displacement and exclusion among women and non‐binary residents. The research underscores the dual role of PGBS as both essential community spaces and sites of exclusion, emphasizing the need for inclusive and just green planning strategies. Policy implications. Urban planning must prioritize the quality and accessibility of PGBS with a gender‐sensitive approach and address broader issues of gentrification and touristification to protect vulnerable populations. An environmentally just greening approach should consider proximity, safety, accessibility and design to facilitate the use of PGBS by socially vulnerable groups. Read the free Plain Language Summary for this article on the Journal blog.
The International Institute of Intellectual Cooperation (IIIC) was an international organisation established post-World War I, aimed to foster intellectual relations for global peace. As this institution becomes centenary, the digitisation of archival records has democratised access, sparking renewed scholar interest and eventually enabling new research avenues. Here, we examine two letter collections from IIIC’s digitised funds, focusing on administrative and artistic/literary matters. By analysing recognisable sender-receiver pairs and their geographical origins, we construct networks revealing intricate international relationships. Notably, the community structures and roles differ between administrative and literary exchanges, suggesting distinct communication dynamics. Administrative matters depict a more egalitarian distribution. In contrast, relevant literary correspondents include Western European countries exclusively, reflecting the prominence of certain geocultural areas as well as potential geopolitical influence attempts, challenging the established historical narratives on centres and peripheries, inviting a revaluation of the IIIC’s geographical organisation and intellectual cooperation during the interwar period.
Based on the Dialogical Self Theory (henceforth DST), positioning in a pedagogical innovation is defined as a subjective stance taken that has been experienced by the teacher themselves. Thirty Andalusian primary school teachers in seven focus groups reported on five positioning descriptors: agency, ownership, sense-making, emotions and collaborative inquiry. Data were analysed with qualitative and quantitative procedures. The results showed three types of positioning: (1) active, positive and satisfactory positioning ( n = 13), with high agency, ownership, sense-making, cooperation and positive emotions; (2) active, efficient and indifferent positioning ( n = 8), with medium agency, medium-high degree of ownership, high degree of sense-making, indifferent emotions and a high degree of cooperation; (3) passive, critical and negative positioning ( n = 9), with a low degree of agency, ownership, sense-making and cooperation and negative emotions. We provide relevant information to identify the positioning that emerges when primary school teachers participate in a pedagogical inquiry process.
Background Although digital health is essential for improving health care, its adoption remains slow due to the lack of literacy in this area. Therefore, it is crucial for health professionals to acquire digital skills and for a digital competence assessment and accreditation model to be implemented to make advances in this field. Objective This study had two objectives: (1) to create a specific map of digital competences for health professionals and (2) to define and test a digital competence assessment and accreditation model for health professionals. Methods We took an iterative mixed methods approach, which included a review of the gray literature and consultation with local experts. We used the arithmetic mean and SD in descriptive statistics, P values in hypothesis testing and subgroup comparisons, the greatest lower bound in test diagnosis, and the discrimination index in study instrument analysis. Results The assessment model designed in accordance with the competence content defined in the map of digital competences and based on scenarios had excellent internal consistency overall (greatest lower bound=0.91). Although most study participants (110/122, 90.2%) reported an intermediate self-perceived digital competence level, we found that the vast majority would not attain a level-2 Accreditation of Competence in Information and Communication Technologies. Conclusions Knowing the digital competence level of health professionals based on a defined competence framework should enable such professionals to be trained and updated to meet real needs in their specific professional contexts and, consequently, take full advantage of the potential of digital technologies. These results have informed the Health Plan for Catalonia 2021-2025, thus laying the foundations for creating and offering specific training to assess and certify the digital competence of such professionals.
In the Greater Mekong Subregion (GMS), community health workers (CHWs) are a key component of malaria elimination strategies. As malaria declines, support for, and uptake of, malaria services may also subsequently decrease. Expanding their roles beyond malaria has been proposed to sustain the services. A systematic review was conducted to identify and characterize programmes with CHWs providing services in addition to those for malaria in the Asia Pacific. This review describes the expanded roles, identifies evidence of impact or success of the programmes, and explores strategies to ensure sustainability and factors for effective implementation to inform the design of malaria CHW programmes. Searches were conducted in 6 databases, for grey literature, and in bibliographies of retrieved articles. Data were extracted from 38 published articles, 12 programme reports, and 4 programme briefs and analysed using thematic coding and descriptive analysis. Twenty-nine programmes were identified with CHWs performing both malaria and non-malaria roles in the Asia Pacific. There was evidence of impact on malaria incidence in 4 of these, none on malaria mortality, and 4 on other diseases. Monitoring and evaluation mechanisms, multi-sectoral stakeholder collaborations, and adequate training and consistent supervision of CHWs were key to effective programme implementation. Integration of programmes into broader health services, ongoing political and funding support, and engagement with local communities were found to contribute to sustaining provision of health services by CHWs. Expanding CHW roles depends on programme management and strengthening linkages with local health systems. To sustain malaria CHW services, countries need adequate policies and financing, and sufficiently strong health systems to deliver basic health services that are adapted to the health needs of the community which means transitioning away from vertical disease programs. Further research should explore programmes that have not been captured in this review and address gaps in measuring malaria outcomes.
The KATITA-25 (Kidney AlloTransplant Immunosuppressive Therapy Adherence) Questionnaire is a multidimensional self-administered scale developed in Brazilian Portuguese that measures the predisposition for non-adherence to immunosuppressive medication in candidate patients for kidney transplantation, in the pre-transplant setting. The aim of this study was the cross-cultural validation of the Spanish version of the KATITA-25 scale. The translation/back-translation method was used, followed by cognitive interviews and a pre-test. The Spanish version of KATITA-25 was administered to 163 candidate patients for kidney transplantation from 2 kidney transplant centres and 2 dialysis centres in Catalonia, Spain. The scale was re-administered to the first 79 patients included into the study, after a 2 to 4 weeks interval. Internal consistency was assessed using Cronbach’s alpha, test–retest reliability with the intraclass correlation coefficient (ICC); construct validity with goodness of fit indices after confirmatory factor analysis using structural equation modelling. The Cronbach’s alpha of the Spanish version was 0.83, the ICC was 0.86. Confirmatory factor analysis showed adequate fit of the structural model. Overall, the analytical results closely resembled those obtained in the validation of the original scale. In conclusion, this cross-cultural validation study showed adequate reliability and construct validity of the Spanish version of the KATITA-25 questionnaire.
Mixed methods research (MMR) is suitable for studying research problems that cannot be adequately investigated through qualitative and quantitative methods alone. Nevertheless, the MMR literature offers a very limited discussion about "research problems." To address this gap, this paper uses Elliott's conceptual framework to offer guidance on how to identify and formulate research problems in MMR and understand their nature. This article contributes to the field of MMR by reframing the concept of research problems in this type of research and offering a conceptual and methodological approach to describing and characterizing research problems for investigation in social and cultural contexts.
Purpose We aimed to describe the intensity of care and its consequences on informal caregivers of stroke survivors according to the degree of care receivers’ functional dependence for activities of daily living; and to identify the factors associated with caregivers’ care-related quality of life. Methods Cross-sectional analysis of prospective data collected in a cost-utility study alongside the RACECAT trial in Catalonia (Spain). One-hundred and thirty-two care receiver-caregiver pairs were interviewed six months after stroke. Functional dependence for activities of daily living was measured with the Barthel index. We assessed caregivers care-related quality of life with the CarerQoL, which measures seven dimensions of subjective burden (CarerQoL-7D) and a happiness score (CarerQoL-VAS). We evaluated the association between characteristics of informal caregivers, characteristics of care receivers, and intensity of care, and the caregiver’s care-related quality of life (subjective burden and happiness) in a hypothesized model using a structural equation model. Results Of the 132 caregivers, 74,2% were women with an average age of 59.4 ± 12.5 years. The 56.8% of them were spouses. The care intensity ranged from a mean of 24h/week for mild to 40h/week for severe dependence. Most caregivers (76.3%) were satisfied with their task, regardless of dependence, but showed increasing problems in caring for severely dependent persons. Being a woman (coeff. -0.23; 95%CI: -0.40, -0.07), spending more time in care tasks (coeff -0.37; -0.53, -0.21) and care receiver need of constant supervision (coeff 0.31; -0.47, -0.14) were associated with higher burden of care, irrespective of the degree of dependence. Caregiver burden (coeff 0.46; 0.30–0.61) and care receiver anxiety or depression (coeff -0.19; -0.34, -0.03) were associated with lower caregiver happiness. Conclusions The findings suggest the importance of developing mainly two types of support interventions for caregivers: respite and psychosocial support. Especially for women with high caring burden and/or caring for persons with high levels of anxiety or depression.
Growth is a key dimension of organisational performance, and innovativeness has been identified as one of its most important predictors in commercial enterprises. But does this also hold for the growing number of social enterprises and so-called “hybrid” organisations? Whereas neo-institutional accounts emphasise the legitimacy premium and performance benefits that come with hybridity, category signaling approaches stress the downsides and negative performance effects of blurred categories. Introducing the neglected distinction between category hybridity and goal hybridity and adopting a multilevel perspective on hybrid organisations, the present study develops and empirically tests competing for hypotheses with data from the 2009 Global Entrepreneurship Monitor (GEM). Multilevel analysis of 2,606 social and 10,133 commercial enterprises, obtained from 150,721 respondents in 42 countries reveals a significant and positive association between organisation-level innovativeness and growth expectations for both commercial and social enterprises. The effect of organisational innovativeness on growth expectations is stronger positive for social compared to commercial enterprises, and higher levels of goal hybridity increase growth expectations for commercial, but not for social enterprises. No moderating effects of country-level differences were found.
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