Exploring the Role of 'Intermediaries' between Non-Operating Landowners and Tenant Farmers in Promoting Conservation on Rented Farmland

Promoting conservation on rented farmland is a challenge for stakeholders working with non-operating landowners (NOLs) and tenant farmers (operators). We conducted an online survey to identify stakeholders who engage with NOLs, and understand how their positioning as 'intermediaries' could be leveraged to help bridge the NOL-operator communication gap. A majority of identified stakeholders/intermediaries worked in government agencies, university extension, law firms, or farm management companies. Intermediaries believed that NOLs trusted them for several conservation activities, however, they believed that NOLs were more influenced by operators than by intermediaries. The message that engaging in conservation can help preserve the farm for future generation was perceived to be influential in motivating NOLs. Our findings suggest the need for a holistic approach to engage NOLs by accounting for trust in and influence of intermediaries and operators, and the salience of conservation messages and messaging when promoting conservation behaviors on rented farmlands.

A model for enterprise resource planning implementation in the Saudi public sector organizations

Studies dedicated to user's adoption, acceptance, and use of IT have been rampant since the advent of computers and IT. Therefore, it becomes essential to assess the value of IT to organizations and to understand the determinants of such value in terms of acceptance, integration, and technology use. In this regard, Enterprise Resource Planning (ERP) adoption remains challenging for professionals and practitioners alike. Previous research neglected many vital factors, such as user involvement (participation, engagement, and resilience) and environmental factors (change management, competitiveness, and pandemic pressure). Therefore, this study aims to identify the most significant factors that influence the successful adoption of ERP and propose a conceptual model. The Technology Acceptance Model with DeLone and McLean Information Success Models were the base for the study. The findings of this study reveal a conceptual model that facilitates the successful adoption of ERP systems. Through the identification of critical factors, one factor emerged as a permanent component in the adoption process. This conceptual model provides valuable insights for organizations seeking to implement and adopt ERP systems effectively. The study's findings offer valuable insights for firms pursuing long-term economic success through ERP adoption. Understanding the influencing factors enables efficient and effective deployment. Implications are relevant to organizations, ERP vendors, and decision-makers, guiding informed decision-making and prioritizing success factors.

How to adopt technologies in home care: a mixed methods study on user experiences and change of home care in Finland

BACKGROUND

There is a need for better adoption of technology to meet the needs of home care professionals, older people, and informal caregivers.

METHODS

Mixed methods were used to describe and analyse quantitative and qualitative data in a Finnish governmental programme called KATI. The study was three-fold: it 1) listed what kinds of technologies were piloted and deployed in a national study, 2) provided information from the perspectives of home care professionals about requirements to use technology by using focus-group interviews, and 3) assessed experiences of how the adoption of technology changes work and work processes over time by using repeated surveys. Informants in interviews (n = 25) and surveys (n = 90) were home care professionals, who also described the perspectives of older people and informal caregivers. The conceptual models framing the study were adapted from the Technology Acceptance Model and DirVA PROVE-IT.

RESULTS

There were 80 technology pilots, in which variety of technologies were followed in home care. Familiarity with, commitment to and understanding of technology benefits were considered to be requirements for the technology to be used. The adoption of technology provided new skills and information about older people's wellbeing, realisation of treatment and new possibilities in home care. It developed new procedures to focus on older people's needs and motivated professionals by gained concrete aid. It enabled them to leave out some concrete procedures as unnecessary. On the other hand, there were also pessimistic and negative experiences when technology use provided nothing new or did not change anything.

CONCLUSIONS

The adoption of technology is dependent on the technology and its integration into the prevailing service practice. When they both work, it is possible to leave out unnecessary procedures in care, allocate resources and save time. It is possible to be aware of older people's safety and how they cope at home, find new ways to get involved in older people's lives, gain insight, and make changes at work. Continuous on-site training, modifications in service practices and communication throughout organisations is needed.

Three-Year Custody Outcomes Among Infants Investigated by Child Protection Systems for Prenatal Substance Exposure in California

OBJECTIVE

Infants affected by prenatal alcohol and drug use are more likely to be removed from parental custody than those in the general population, although it is unclear whether their custody outcomes differ from infants investigated by child protection systems (CPS) for other reasons. This analysis seeks to compare trajectories of involvement and custody outcomes among infants investigated by CPS with and without documentation of prenatal substance exposure (PSE).

METHOD

We used vital birth records linked to administrative CPS records to examine the timing of system involvement and 3-year custodial outcomes among investigated infants with and without identified PSE. We defined PSE according to documentation on the state's standardized hotline screening form, which CPS completes upon referral for alleged maltreatment. We estimated the likelihood a child was in nonparental custody at age 3 by specifying multivariable generalized linear models, adjusted for covariates available in the birth record.

RESULTS

In our sample of 22,855 infants investigated by CPS in 2017 in California, more than 26% had documentation of PSE. These infants experienced an accelerated timeline of system penetration and were 2.2 times as likely to be in nonparental placement at age 3.

DISCUSSION

PSE confers an independent risk of custody interruption among infants investigated by CPS. The younger age of these infants, complexity of parental substance use, and potential misalignment of administrative permanency timelines with parental recovery all suggest the need for increased research, policy, and programmatic interventions to serve this vulnerable population.

Adoption of on-farm feed safety practices among livestock farmers: Evidence from Saudi Arabia

Compliance with feed safety standards and practices on the farm promotes sustainable livestock production and can positively affect the environment and human health. This study aims to examine farmers' on-farm adoption of feed safety practices and determine the differences in adoption according to the socio-economic characteristics of farmers. An online survey was conducted to collect the study data. The study participants consisted of 442 livestock farmers in Riyadh region, Saudi Arabia. The study findings revealed that farmers highly adopted categories of feed purchasing (77.9 %) and feed mixing and distribution (75.05 %), whereas they were considered as a moderate level adoption regarding feed storing (70.9 %). The cluster analysis results showed two main patterns of adoption- "high adopters" and "moderate adopters"-based on the average level of adoption for 25 feed safety practices examined. The cluster of "high adopters" accounted for 59.9 % of the sample and had higher average adoption in all practices examined. The findings revealed that there are significant differences between the two segments of farmers, corresponding to gender, membership in livestock association, extension contact, raising sheep, and feeding system. This study proposes the regular monitoring of farms to ensure strict adherence to feed safety regulations, with the implementation of awareness and capacity development initiatives pertaining to feed safety concerns.

Gender differentiation on the determinants and intensity of adoption of Purdue improved cowpea storage (PICS) bags in Northern Nigeria

Postharvest and storage of agricultural produce such as cowpea remains a significant challenge in sub-Sahara Africa. This study assessed gender differentiation on the determinants and intensity of adoption of Purdue-improved cowpea storage (PICS) bags in northern Nigeria. Primary data was collected via a well-questionnaire from Kano, Kaduna, Gombe, Bauchi, Plateau, and the Niger States. Each State was purposively selected based on the concentration and availability of female PICS bag users. From the sampling frame 2989, 20% of male and female small-scale cowpea farmers were randomly selected, totalling 598 cowpea farmers. Descriptive and double-hurdle regression models were used. The result of the socioeconomic analysis indicated that farmers' mean age was 42 years, with an average of 8 persons per household and a dependency ratio of 1.19. Years of schooling were 10 with a farming experience of 25 years and 2.17 ha as the average farm size. Results of the Logit model in males were significant for (extension contact, PICS information from other farmers and radio sources, and cowpea income, bags non-available) and for females (age, awareness, extension contact, PICS information from other farmers and radio source, bags non-available). The truncated regression model was significant in males (cowpea income) and females (education, output, and bags non-available). Adopting PICS bag technology by cowpea farming households enhanced female farmers' adoption. Therefore, policymakers should implement methods to motivate female farmers to adopt this technology further.

Impact of adoption of climate-smart agriculture on food security in the tropical moist montane ecosystem: The case of Geshy watershed, Southwest Ethiopia

The traditional rain-fed agriculture system of Ethiopia is suffering from climate change impacts and extremes. It must be improved to feed the growing population and create a resilient society. Climate-smart agriculture (CSA) is currently promoted as an approach intended to increase sustainable agricultural productivity, enhance household resilience, and reduce greenhouse gas emissions. This study was, therefore, undertaken to examine how food security can be improved by the adoption of multiple climate-smart agriculture (CSA) practices of smallholder farmers in a moist tropical montane ecosystem of Southwest Ethiopia. Data was collected from 384 purposively selected households through cross-sectional study design using a semi-structured questionnaire. Eight Focus group discussions and fifteen key informant interviews were also conducted to check the reliability of the survey data collected. In the study area, a total of eighteen CSA practices, adopted by farmers, were identified. Using principal component analysis, these practices were further grouped into five packages and a multinomial endogenous switching regression model was used to link these packages to the food security status. The findings revealed a great variation in the proportion of households using CSA practices where 92.3 % were using crop management practices whereas 11.2 % were using soil and water conservation practices. The study found that the maximum effect of CSA adoption on food security was by farmers who adopted all the five category CSA technologies. Households that adopted this package were more food secure by 41.2 % in terms of per capita annual food expenditure, 39.8% in terms of Household Food Insecurity Access Scale (HFIAS), and 12.1% in terms of Household Food Consumption Score (HFCS) than the non-adopters. The adoption of this group of practices was further influenced positively by farm size, gender, and productive farm asset values. Using CSA practices in combinations and to a relatively larger extent can potentially solve food security problems. Motivating farmers by providing income-generating activities and discouraging land fragmentation through public education is essential. This in turn improves CSA adoption and initiates production assets investment that can absorb climate change risks.

Revisiting the policy ecology framework for implementation of evidence-based practices in mental health settings

BACKGROUND

Over the past three decades, policy actors and actions have been highly influential in supporting the implementation of evidence-based practices (EBPs) in mental health settings. An early examination of these actions resulted in the Policy Ecology Framework (PEF), which was originally developed as a tactical primer for state and local mental health regulators in the field of child mental health. However, the policy landscape for implementation has evolved significantly since the original PEF was published. An interrogation of the strategies originally proposed in the PEF is necessary to provide an updated menu of strategies to improve our understanding of the mechanisms of policy action and promote system improvement.

OBJECTIVES

This paper builds upon the original PEF to address changes in the policy landscape for the implementation of mental health EBPs between 2009 and 2022. We review the current state of policy strategies that support the implementation of EBPs in mental health care and outline key areas for policy-oriented implementation research. Our review identifies policy strategies at federal, state, agency, and organizational levels, and highlights developments in the social context in which EBPs are implemented. Furthermore, our review is organized around some key changes that occurred across each PEF domain that span organizational, agency, political, and social contexts along with subdomains within each area.

DISCUSSION

We present an updated menu of policy strategies to support the implementation of EBPs in mental health settings. This updated menu of strategies considers the broad range of conceptual developments and changes in the policy landscape. These developments have occurred across the organizational, agency, political, and social contexts and are important for policymakers to consider in the context of supporting the implementation of EBPs. The updated PEF expands and enhances the specification of policy levers currently available, and identifies policy targets that are underdeveloped (e.g., de-implementation and sustainment) but are becoming visible opportunities for policy to support system improvement. The updated PEF clarifies current policy efforts within the field of implementation science in health to conceptualize and better operationalize the role of policy in the implementation of EBPs.

An audit of the dissemination strategies and plan included in international food-based dietary guidelines

OBJECTIVE

Food-based dietary guidelines (FBDG) are an important resource to improve population health; however, little is known about the types of strategies to disseminate them. This study sought to describe dissemination strategies and content of dissemination plans that were available for FBDG.

DESIGN

A cross-sectional audit of FBDG with a published English-language version sourced from the United Nations FAO repository. We searched for publicly available dissemination strategies and any corresponding plans available in English language. Two authors extracted data on strategies, which were grouped according to the Model for Dissemination Research Framework (including source, audience, channel and message). For guidelines with a dissemination plan, we described goals, audience, strategies and expertise and resources according to the Canadian Institute for Health Research guidance.

SETTING

FBDG from fifty-three countries mostly from high-income (n 28, 52·8 %), and upper-middle income (n 18, 34 %) areas were included.

PARTICIPANTS

n/a.

RESULTS

The source of guidelines was most frequently health departments (79·2 %). The message included quantities and types of foods, physical activity recommendations and 88·7 % included summarised versions of main messages. The most common channels were infographics and information booklets, and the main end-users were the public. For twelve countries (22·6 %), we were able to source an English-language dissemination plan, where none met all recommendations outlined by the Canadian Institute for Health Research.

CONCLUSIONS

The public was the most frequently identified end-user and thus most dissemination strategies and plans focused on this group. Few FBDG had formal dissemination plans and of those there was limited detailed provided.

Intention to adopt improved indigenous chicken breeds among smallholder farmers in Machakos county, Kenya. Do socio-psychological factors matter?

Consumption of poultry meat, eggs, and other animal-sourced commodities has dramatically risen by almost 86 %, with the demand of indigenous chicken products almost doubling over the past few decades. In Kenya, poultry farmers prefer indigenous chicken (IC) due to their resilience to harsh climatic conditions, high feed conversion rates, delicious end products, ability to scavenge and potential to reduce greenhouse gas emissions among other factors. Despite the high demand for poultry and its products, the gap between demand and production remains high. Poultry farmers try to keep pace with the demand by integrating the recommended improved IC breeds into their production system. Although there exists some understanding on the determinants of the farmers to adopt improved IC, still there is scanty information on how socio-psychological factors influence the intention to adoption improved IC among the farmers in Kenya. Thus, this study sought to investigate the determinants of intention to adopt improved IC while specially focusing on the role of socio-psychological factors. A total of 374 IC farmers in Machakos county were selected using a multistage sampling technique. Partial Least Square - Structural Equation Modelling (PLS-SEM) was employed to analyze the data. Results from descriptive statistics showed that approximately 90 % of IC farmers in the study area were aware of the improved indigenous chicken breeds. However, the adoption of the improved IC was below average (44.9 %). The path analysis results revealed that Subjective Norm (SN) was the main determinant of farmer's intention to adopt improved IC breeds, followed by Attitude (ATT) and Perceived Behavioral Control (PBC). The study recommends more emphasis to be given to psycho-social issues through well designed public and private interventions that will promote adoption of improved breeds among IC farmers.

Gaelic games players' awareness and use of, and attitudes towards injury prevention exercise programmes

OBJECTIVE

The aim was to determine the awareness of and use of injury prevention exercise programmes (IPEPs) among adult Gaelic games players and to investigate Gaelic games players' attitudes to injury prevention and barriers and facilitators to successful IPEPs use.

METHODS

A recruitment email was sent to all clubs and county boards throughout Ireland (whose email was available online) and the survey was advertised on social media platforms. Adult players completed an anonymous survey, including awareness, use, and attitudes towards injury prevention and injuries. Frequencies and descriptive statistics were conducted, a chi-squared test was used to assess any differences in awareness and use of IPEPs, a Mann-Whitney U test was used to examine differences between groups for attitudes to injury prevention (men vs women; elite vs non-elite).

RESULTS

A third of players (32.4%) stated awareness of IPEPs. However, only 13.4% correctly identified one. A significantly greater number of men (35.7%) used IPEPs compared to women (26.5%) (p = 0.04). The Activate (65.5%) and GAA15 (32.5%) were most used. Players had a positive attitude towards injury prevention but agreed that injuries were an issue (68.2%) and stated that their coach didn't have enough knowledge how to use IPEPs was a large barrier (41.6%).

CONCLUSION

Despite this positive attitude to injury prevention and believing injuries are an issue, adoption remains low. Organisations/clubs should educate players on the benefits of using IPEPs and support structures put in place to gain greater implementation, which is critical to mitigating the risk of injury.

Developing and Validating a Questionnaire to Measure Attitude toward Child Adoption: A Psychometric Process

Background

Despite the mutual benefit of adoption, due to the adverse attitude related to the barriers perceived by the couples, some people are not interested in adoption. The purpose of this study was to develop and validate a questionnaire to measure attitudes toward child adoption.

Materials and Methods

This secondary analysis is part of a larger study on 178 infertile couples referring to the Afzalipour Infertility Center in Kerman, Iran. Factor Analysis (FA) was performed. The sampling was conducted using the convenience sampling method. The questionnaire was implemented using a mixed-method approach in three phases. Firstly, a pool was created. The second phase involved content validity. Lastly, construct validity was conducted.

Results

The final version of the questionnaire with 20 questions had a total Cronbach's alpha of 0.70%. Six factors with eigenvalues of higher than 1.00 were extracted, which accounted for 52% of the total variance. These factors were "spiritual-psychological status of the new parents," "psychological status of the adopted child," "undesirable behaviors of others in the future," "anxiety of the new parents," "physical-behavioral characteristics of the adopted child," and "socio-economic factors." The model extracted from the Exploratory Factor Analysis (EFA) was confirmed by Confirmatory Factor Analysis (CFA). The 6-factor structure adequately fitted the data (Comparative Fit Index (CFI) = 0.93; root mean square error of approximation [RMSEA] = 0.047; X2/df = 1.393; p = 0.002.

Conclusions

The internal consistency and construct validity of the questionnaire were confirmed. This instrument can be used in clinical and research practices.

Single parent adoption in India: Mental health and legal perspectives and the way forward

Single parent adoption (SPA) is a relatively new construct worldwide and in India. The Ministry of Women and Child Development, Government of India, has laid down criteria for adoption in general and SPA in particular, in conjunction with the Juvenile Justice Act (Care and Protection of Children), 2015. There is scant literature on this topic of SPA, more so in India, that looks into the various psychological nuances of SPA from a mental health professional's (MHP) perspective. This review paper aims to assess SPA from the perspective of a MHP that will focus on its various legal nuances as well as the psychological connotations attached to it. For this, a search strategy was employed that included a thorough literature search from two databases (PubMed and Google Scholar) with relevant keywords related to the topic. The various legal issues pertaining to SPA in the current scenario, the psychological issues and challenges faced by single parents, the behavioral outcomes of adoptees who are adopted by single parents, and ways to deal with the various obstacles of SPA are discussed.

Saving unwanted children: a proposal for a National Rearing Institute

Unwanted children are carried, born, and reluctantly raised each year; they are prone to abortion, abandonment, neglect, and abuse. Meanwhile, many developed societies are suffering from depopulation. To address these two issues concurrently, I propose that governments should grant pregnant women and mothers an irreversible and unconditional one-time chance to relinquish all their legal rights and obligations associated with each of their children under a specific age to a National Rearing Institute that adopts the children and rears them to the age when they can fully exercise their rights as adult citizens. I call this set of policy arrangements "Project New Republicans." This project aims to (1) protect and support the best interests of unwanted children, (2) maximize the health outcomes of the mothers who gave birth to these children and help the mothers to achieve self-realization, and (3) preserve an influx to the population from procreation against depopulation. The project is primarily grounded on both the utilitarian and intra- / inter-generational accounts of justice. It also ameliorates the oppression and domination of women by unjust social structures in alignment with the human rights-based approach.

Survey among FELASA members about rehoming of animals used for scientific and educational purposes

Rehoming is an important fate, which should be considered for animals used for scientific and educational purposes, and which is highlighted in the European Directive 2010/63 EU. In 2018, the Federation of European Laboratory Animal Science Associations (FELASA) convened a working group to review current literature and identify existing practices with the aim of issuing general recommendations on the rehoming of research animals. In order to understand the number and species of animals being rehomed and which species and information to include in the recommendations, the working group launched a survey that was distributed among FELASA members, yielding 97 valid records for analysis. Most respondents of the survey considered the rehoming of cats, dogs, mice, rats, rabbits, pigs and minipigs. The most important issues reported by the respondents were related to availability/suitability of animals, availability of adopters and legal issues. Based on the data and information collected in this survey, the working group decided on the format and content of the future recommendations: a first section containing a general protocol for rehoming, addressing the issues raised by the respondents, and a second section containing species-specific information and advice about cats, dogs, small prey mammals, equines, primates, camelids and minipigs.

Assessing the Adoption, Acceptability and Fidelity of the Alcohol Use Disorders Test for Alcohol Use Disorders screening in HIV Clinics in Malawi

BACKGROUND

Alcohol use disorders (AUD) are a common cause of poor treatment outcomes among people with HIV (PWH). In Malawi, routine screening for AUD among PWH is unavailable. We piloted the utility of the Alcohol Use Disorders Identification Test (AUDIT) in screening for AUD among PWH and assessed its adoption, acceptability and fidelity in HIV clinics in Malawi.

METHODS

We implemented the AUDIT tool at Mchinji, Kapiri and Kochirira hospitals in Mchinji District between April and May 2021. AUD were defined and classified based on WHO classification as low-risk, harmful/hazardous alcohol use or alcohol dependence. We calculated the prevalence of AUD, the proportion of providers who conducted AUD screening (adoption) and the proportion of providers who conducted AUD screening as intended (fidelity) and compared between clinics. Lastly, we assessed acceptability through a survey among providers.

RESULTS

Out of 2036 PWH, 875 (43%) were screened for AUD and 51% were female, mean age was 41 years (SD±12) and 338 (39%) had AUD. Adoption was highest at Mchinji (58%) compared to Kapiri (31%) and Kochiria (29%) (P<0.001). Overall Fidelity was 96%, and it was highest at Kapiri (99%) compared to Mchinji (95%) and Kochirira (98%) (P=0.01). AUD screening with AUDIT was highly acceptable as most providers agreed or completely agreed that the AUDIT was important (100%), easy to use (96%), satisfactory (96%), agreed to continue use (61%) and recommended it for other facilities in the district (100%).

CONCLUSION

AUD were common among PWH. While the adoption of AUDIT for AUD screening was moderate, acceptability and fidelity were high. The impact of AUD on HIV treatment outcomes needs to be assessed to determine the role of routine AUD screening in HIV clinics in Malawi.

Adoption of improved chickpea technologies for productivity enhancement in the North Western Ethiopian highlands

Efforts have been made on promoting improved chickpea technologies. However, the result is not that much impressive. This study aimed to analyze drivers of technology adoption. 224 respondents were used for this study. Multivariate Probit (MVP) and Seemingly Unrelated Regression (SUR) models were employed. The results from MVP model, marginal success probability of adoption decision were 60%, 19%, and 17% for a variety, bio-inoculant, and chemical fertilizer, respectively. Distance from farmers' training center, farm income, livestock holding, and field day participation have significantly affected for adoption of chickpea varieties. A social network, market information, and field day participation have significantly influenced the adoption of bio-inoculant fertilizer. In addition, household size, asset owned, and field day participation has significantly influenced the adoption of chemical fertilizer. Field day participation was the most important variable for the adoption decision of chickpea technologies as a package. The results from SUR model, farmers' training center distance, farm income, livestock holding, social network and agricultural training have significantly influenced adoption intensity of improved varieties. Age, farming experience, livestock holding, social network, education status, and field day and training participation have significantly influenced the intensity of bio-inoculant adoption. In addition, Age, education status, radio owned, training participation, asset owned and farmer's perception have significantly influenced the intensity of chemical fertilizer adoption. Training participation is the most determinant factor for adoption intensity of improved technologies. Hence, government should emphasize on improving of extension services, provision of education, encouraging livestock rearing, strengthening credit access for farmers, strengthening rural infrastructure, and considering community social network for adoption of chickpea technologies.

Enablers and barriers to adopt the locally developed Masi mechanical ventilator amid COVID-19 pandemic in Peru

Background

Limited supply of resources during the COVID-19 emergency encouraged the local development of the Masi mechanical ventilator (MV). Despite the efforts to promote Masi, adopting this innovation faced multiple obstacles, regardless of its performance. We explored the perceptions among healthcare personnel towards incorporating Masi to provide ventilatory support to COVID-19 patients during the second wave in Peru (January to June 2021).

Methods

We conducted twelve in-depth virtual interviews. Topics included experience when handling Masi, the impact of the training received, confidence in the device, barriers perceived, and enablers identified. All participants provided verbal informed consent.

Results

Most of the participants were male physicians. Participants belonged to seven hospitals that exhibited a wide range of healthcare capacities. Globally, the adoption of Masi MV was driven by the scarcity of ventilatory devices in the wards and reinforced by appropriate training and prompt technical support. Participants reported that Masi's structural and operational features played both advantages and disadvantages. Hospital infrastructure readiness, availability of commercial MVs, mistrust in its simple appearance, and resistance to change among healthcare personnel were perceived as barriers, while low-cost, prompt technical support and user-friendliness were valuable enablers. The first two enablers were observed in participants regardless of their attitude towards Masi. Despite the small number of participants for this qualitative study, it is important to note that the sample size was sufficient to reach saturation, as the topics discussed with participants became redundant and did not yield new information.

Conclusions

The perceptions among healthcare personnel to incorporate Masi as a mechanical ventilator for COVID-19 patients showed that communication, training and experience, and peer encouragement were essential to secure its use and sustainability of the technology. A priori judgments and perceptions unrelated to the performance of the novel device were observed, and its proper management may define its further implementation. Altogether our study suggests that along with strengthening local technological development, strategies to improve their adoption process must be considered as early as possible in medical innovations.

How to promote the adoption of intelligent spray technology in farmers' cooperatives? --Based on the perspective of evolutionary game

In order to accelerate the development of smart agriculture and realize the green transformation of agriculture, the coupling of prospect theory and evolutionary game theory is introduced. Construct a two-party evolutionary game model for the adoption of intelligent spray technology in farmers' cooperatives, analyze the evolution of farmers' cooperatives and government strategy selection and its influencing factors according to the replication dynamic equation, and conduct numerical simulation experiments through Matlab software. The results show that the adoption of intelligent spray technology by farmers' cooperatives and the government's choice of subsidies are the two optimal stable states of the evolutionary system. The government's subsidy policy can effectively stimulate farmers' cooperatives to adopt intelligent spray technology, but when the government subsidy coefficient is greater than or equal to 70%, the decision-making evolution of the government and farmers' cooperatives is unstable. The increase in farmers' awareness of pesticide hazards, the scale of operation of farmers' cooperatives, the price of high-quality agricultural products, and the sensitivity of farmers' cooperatives to profits and losses contribute to the promotion of intelligent spray technology, and the damage probability of intelligent spray technology has a restraining effect.

Adoption, Fostering, and Parental Absence in Vanuatu

Alloparenting, wherein people provide care to children who are not their biological offspring, is a key aspect of human child-rearing. In the Pacific, many children are adopted or fostered by custodial alloparents even when both biological parents are still alive. From a behavioral ecology perspective, such behaviors are puzzling: why parent someone else's child at your expense? Furthermore, little is known about how these arrangements are made in Pacific Islander societies today, who provides care, and what kinds of outcomes fostered children experience. A better understanding of these proximate factors may help reveal the ultimate drivers behind custodial alloparenting. Here, we report findings from a survey carried out with the caregivers of 282 children in rural areas of Vanuatu, an island nation in Melanesia. Most fostered and adopted children lived with relatives such as aunts, uncles, and grandparents (87.5%) rather than unrelated caregivers, with a strong preference for maternal kin. The most common reasons for these arrangements were that the parents had separated (16.7%), were engaging in labor migration (27.1%), or a combination of both (27.1%). Results for investment in children's education and their educational outcomes were mixed, although children removed from crisis situations did more poorly than children removed for aspirational reasons. Our findings suggest that custodial alloparenting helps families adapt to socioeconomic transitions and changing marriage practices. Outcomes may depend on a range of factors, such as the reason children were transferred out of the natal home to begin with.

Evaluating change in a pressured healthcare system: a cross-sectional study of implementation outcomes using routine data indicators and proxies

BACKGROUND

Implementation evaluation should focus on implementation success, guided by theories and frameworks. With high staff vacancies in the health services, it is important to consider pragmatic methods of data collection for implementation evaluation. This paper presents a cross-sectional rapid evaluation of a handheld medical device designed for remote examinations, piloted in Northern England. By using downloaded device data and administrative records mapped to domains from the implementation outcomes framework, this evaluation offers a pragmatic example of assessing implementation success.

METHODS

The pilot design was pragmatic: sites volunteered, decided which services to use the device in, and launched when ready. The pilot and evaluation together lasted 1 year. Data was downloaded from the devices, and administrative records for the pilot accessed. Variables were mapped to five of the implementation outcomes, after reviewing with the device manufacturer and pilot team to assess robustness.

RESULTS

N=352 care episodes were recorded using the device with 223 patients. Out of 19 sites 'signed up' to the pilot, 5 launched and delivered 10 of 35 proposed projects: a site and project adoption rate of 26 and 29%, respectively. Six sites signed up to an extension period; three had launched and three had not during the original timelines, indicating some sustainability. Feasibility was high, with only one in seven care episodes needing to be repeated due to poor device quality or error (sound/audio/internet). Fidelity of device usage was low for two of the eight available device examinations. Device and staffing costs were high but potential cost savings were attributable to fewer in-person appointments.

CONCLUSIONS

Through using device and administrative data, this evaluation minimised burden on busy healthcare staff yet was still guided by an evaluation framework. Five out of the eight implementation outcomes were measured, including sustainability and costs. The findings give insight into implementation challenges, particularly around adoption. For future research, it is recommended to engage with staff to prioritise outcome measurements and to focus on meaningful interpretation of indicators.

A comparison study between metropolitan and rural hospital-based telehealth activity to inform adoption and expansion

INTRODUCTION

In Queensland, Australia, the public hospital system has used telehealth for almost three decades. Although telehealth activity has been growing consistently, there are substantial variations across geographic regions. We explored factors which contribute to this variation in telehealth adoption.

METHODS

This was a multi-method comparative study of two matched metropolitan health services and two matched rural health services. The health services were matched according to the number of providers and hospitals but had different rates of telehealth use. Comparative rates of telehealth visits were analysed using descriptive statistics. Qualitative data was obtained from 63 semi-structured interviews with telehealth administrators, clinicians and senior managers involved in telehealth policies and procedures. Data were analysed using a framework analysis.

RESULTS

The metropolitan health service that had more telehealth use had greater investment in telehealth, higher population referral areas, highly developed communication strategies and understanding of the value proposition for telehealth, and reported fewer information technology and administration systems difficulties. In rural health services, telehealth activity was influenced by onboarding processes, clinician willingness to practice, strategic challenges and primary care activity.

DISCUSSION

Telehealth adoption can be influenced by funding, cross-organisational strategic policies and a multi-faceted approach to address clinician reluctance to use telehealth.

Adoption and intensity use of malt barley technology package by smallholder farmers in Ethiopia: A double hurdle model approach

Ethiopia has an enormous production potential for malted barley due to its ideal agroecology, notably in the central and Bale highlands. However, local production cannot meet the demand for both new and old malt and brewing plants. Millions of dollars have been invested to import malt at the national level. The objective of this study was to investigate the factors that influence smallholder farmers' adoption and level of use of the malt barley technology package. A multistage sampling procedure was employed to choose representative kebeles and households. The study relied on actual data collected from 201 randomly selected barley-producing households. Descriptive statistics and Double Hurdle economic models were used to analyze the data. The descriptive findings show that malt barley varieties and the malt barley technology package were adopted at rates of 0.3 and 0.9, respectively. The Double Hurdle model results reveal that factors such as the household head's age, the total area under cultivation, the availability of information on malt barley production, distance from the main road, participation in the field day program, and membership in the agricultural cooperative all had an effect on smallholder farmers' decisions to adopt and use the malt barley technology package. The recommendation made by this research was to boost farmers' knowledge of malt barley production through training and field trip programs. Organizing smallholder farmers in nearby agricultural cooperatives, as well as ensuring access to roads and public transit for easy access to agricultural inputs and output markets.

Adoption of improved management practices of livestock: Case of small-scale farmers in rural Bangladesh

This study examines the drivers of improved livestock management practices (ILMP) adoption in rural Bangladesh using data from the International Food Policy Research Institute's (IFPRI) Bangladesh Integrated Household Survey (BIHS). This study investigated four improved management practices: artificial insemination, concentrate feed, vaccination, and deworming. The binary logit and multivariate probit (MVP) models were used to analyse the data. According to the findings, approximately 65% of farmers practiced deworming, but only about 20% of farmers vaccinated their livestock. Logit regression analysis suggested that rural households with mobile phones and televisions were 5.2% and 3.8% more likely to adopt. Furthermore, compared to their peers, farmers who have maintained contact with livestock extension agents are 11% more likely to adopt. The MVP model indicated that likelihood of using concentrate feed increases with income, while artificial insemination is more prevalent among farmers who raise livestock for sale. Policy implication included the need for more extension agent-delivered awareness development programmes to educate livestock farmers on the benefits of ILMP. Scale-appropriate management practices can also play an important role. Farmers should be guaranteed of the availability of livestock feed and veterinary services at reasonable prices to promote adoption.