Background: Successful implementation of multifactorial fall prevention interventions (FPIs) is essential to reduce increasing fall rates in communitydwelling older adults. However, implementation often fails due to the complex context of the community involving multiple stakeholders within and across settings, sectors, and organizations. As there is a need for a better understanding of the occurring context-related challenges, the current scoping review purposes to identify what contextual determinants (i.e., barriers and facilitators) influence the implementation of FPIs in the community. Methods: A scoping reviewwas performed using the Arksey andO’Malley framework. First, electronic databases (Pubmed, CINAHL, SPORTDiscus, PsycINFO) were searched. Studies that identified contextual determinants that influence the implementation of FPIs in the community were included. Second, to both validate the findings from the literature and identify complementary determinants, health and social care professionals were consulted during consensus meetings (CMs) in four districts in the region of Utrecht, the Netherlands. Data were analyzed following a directed qualitative content analysis approach, according to the 39 constructs of the Consolidated Framework for Implementation Research. Results: Fourteen relevant studies were included and 35 health and social care professionals (such as general practitioners, practice nurses, and physical therapists) were consulted during four CMs. Directed qualitative content analysis of the included studies yielded determinants within 35 unique constructs operating as barriers and/or facilitators. The majority of the constructs (n = 21) were identified in both the studies and CMs, such as “networks and communications”, “formally appointed internal implementation leaders”, “available resources” and “patient needs and resources”. The other constructs (n = 14) were identified only in the . Discussion: Findings in this review show that awide array of contextual determinants are essential in achieving successful implementation of FPIs in the community. However, some determinants are considered important to address, regardless of the context where the implementation occurs. Such as accounting for time constraints and financial limitations, and considering the needs of older adults. Also, broad cross-sector collaboration and coordination are required in multifactorial FPIs. Additional context analysis is always an essential part of implementation efforts, as contexts may differ greatly, requiring a locally tailored approach.
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The aim of this study is to contribute to the body of knowledge on the use of contextual mathematical problems. Word problems are a predominant genre in mathematics classrooms in assessing students’ ability to solve problems from everyday life. Research on word problems, however, reveals a range of difficulties in their use in mathematics education. In our research we took an alternative approach: we designed image-rich numeracy problems as alternatives for word problems. A set of word problems was modified by systematically replacing the descriptive representation of the problem situation by a more depictive representation and an instrument was designed to measure the effect of this modification on students’ performance. The instrument can measure the effect of this alternative approach in a randomized controlled trial. In order to use the instrument at scale, we made this instrument also usable as a diagnostic test for an upcoming nationwide examination on numeracy. In this article we explain and discuss the design of the instrument and the validation of its intended uses.
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This chapter provides insights into the complex and adaptive nature of systems and illustrates key characteristics of such systems. These contribute to an understanding of the challenges in health promotion and imply a need for more context-specific research to evaluate the health promotion interventions. CARA can address this need as it can be used to evaluate and support change in complex adaptive systems. To support and inspire other health promotion researchers who want to adopt CARA as their research approach, we have discussed our experiences and provided some guiding principles. Overall, complexity thinking can help to understand the challenges in health promotion, whereby CARA provides a possible strategy for health promotion researchers when dealing with the challenges of evaluating health promotion interventions in complex adaptive systems.
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Within a field that has prioritized ideas of a global tourism industry impacting on a local environment, less attention has been given to regional, cultural, and geographic differences and parallels. A problematic concern in the study of tourism was perhaps the lack of contextualization and the integration of the units of analysis (e.g., tourist destinations) to the larger regional structures and societal processes. We wish to take up the challenge to further disturb the foundations of the field and, more importantly, to participate in the advancement of a more pluralist discourse. A central component in this article is a 5-day study visit in Siem Reap, Cambodia as part of an Asia-based fieldwork of bachelor students in tourism development at NHTV University of Applied Sciences in Breda, The Netherlands. This study visit serves as an illustration of the contextual education approach developed in the tourism course and facilitated by the international classroom setting. This fieldwork's philosophy and the inspirational encounters made possible by it is an attempt to address the challenges posed by the study of the dynamism and changing character of destinations. To conclude we will bring forward selected student experiences as well as dimensions of Cambodian history and society that have enriched our understanding of Siem Reap as a destination. This experience will fuel a discussion on knowledge production in tourism and on the added value of this contextual education approach. The repeated opportunity for our students to meet, think, and reflect on what they were confronted with created a possibility to uncover more than would have been possible via standard research methods using surveys and interviews.
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The aim of the paper is a contextual analysis of universities in the Netherlands: an analysis of the key issues and external developments, and how they affect the academic organization, the organization of academic work and the characteristics and preferences of scientists. Subsequently, we will discuss effects of these developments on the HRM system and policy (and in specific the management of talent or excellence). We will use multiple theoretical frameworks and perspectives grounded in organizational theory to describe Dutch universities and their context: structural frame, professional frame, cultural frame and political frame. Most literature discusses one aspect of the academic organization: education or research aspect, HRM aspect, financial aspect et cetera. Seldom the different aspects have been presented as one integrated entity. We want to show that using multiple frames or lenses will lead to an integrated, enriched and more balanced view of a situation.
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PurposeAll entrepreneurs interact simultaneously with multiple entrepreneurial contexts throughout their entrepreneurial journey. This conceptual paper has two central aims: (1) it synthesises the current literature on gender and entrepreneurship, and (2) it increases our understanding of how gender norms, contextual embeddedness and (in)equality mechanisms interact within contexts. Illustrative contexts that are discussed include entrepreneurship education, business networks and finance.Design/methodology/approachThis conceptual paper draws upon extant literature to develop its proposed conceptual framework. It provides suggestions for systemic policy interventions as well as pointing to promising paths for future research.FindingsA literature-generated conceptual framework is developed to explain and address the systemic barriers faced by opportunity-driven women as they engage in entrepreneurial contexts. This conceptual framework visualises the interplay between gender norms, contextual embeddedness and inequality mechanisms to explain systemic disparities. An extra dimension is integrated in the framework to account for the power of agency within women and with others, whereby agency, either individually or collectively, may disrupt and subvert the current interplay with inequality mechanisms.Originality/valueThis work advances understanding of the underrepresentation of women entrepreneurs. The paper offers a conceptual framework that provides policymakers with a useful tool to understand how to intervene and increase contextual embeddedness for all entrepreneurs. Additionally, this paper suggests moving beyond “fixing” women entrepreneurs and points towards disrupting systemic disparities to accomplish this contextual embeddedness for all entrepreneurs. By doing so, this research adds to academic knowledge on the construction and reconstruction of gender in the field of entrepreneurship.
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This scoping review aimed to systematically explore the breadth and extent of the literature regarding the relationship between contextual factors (CFs) and training load (TL) in adolescent soccer players. Further aims included comprehending potential underlying mechanisms and identifying knowledge gaps. CFs were defined as factors not part of the main training process, such as the coach–athlete relationship and educational responsibilities. PubMed, EBSCO APA PsycINFO, Web of Science, ProQuest Dissertations & Theses A&I, and SportRxiv were searched. Studies involving adolescent soccer players that investigated the CF–TL relationship and measured TL indicators were deemed eligible. Seventeen studies were included, reflecting the limited number of articles published regarding the CF–TL relationship. CFs were mostly related to match-play (N = 13) and phase of the season (N = 7). Moreover, these factors appeared to affect TL. CF related to players’ personal environment (N = 3) were underrepresented in the reviewed studies. Overall, the CF–TL relationship appears to be rarely scrutinized. A likely cause for this lack of research is the segregation of the physiological and psychological research domains, where the CF–TL relationship is often speculated upon but not measured. Therefore, a holistic approach is warranted which also investigates the effect of personal environment, such as stressful life stress events, on TL.
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Purpose: Food waste occurs in every stage of the supply chain, but the value-added lost to waste is the highest when consumers waste food. The purpose of this paper is to understand the food waste behaviour of consumers to support policies for minimising food waste. Design/methodology/approach: Using the theory of planned behaviour (TPB) as a theoretical lens, the authors design a questionnaire that incorporates contextual factors to explain food waste behaviour. The authors test two models: base (four constructs of TPB) and extended (four constructs of TPB plus six contextual factors). The authors build partial least squares structural equation models to test the hypotheses. Findings: The data confirm significant relationships between food waste and contextual factors such as motives, financial attitudes, planning routines, food surplus, social relationships and Ramadan. Research limitations/implications: The data comes from an agriculturally resource-constrained country: Qatar. Practical implications: Food waste originating from various causes means more food should flow through the supply chains to reach consumers’ homes. Contextual factors identified in this work increase the explanatory power of the base model by 75 per cent. Social implications: Changing eating habits during certain periods of the year and food surplus have a strong impact on food waste behaviour. Originality/value: A country is considered to be food secure if it can provide its citizens with stable access to sufficient, safe and nutritious food. The findings and conclusions inform and impact upon the development of food waste and food security policies.
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Relatively little empirical research has been conducted on impacts of volunteer tourism in local communities. This paper therefore focuses on the local consequences of volunteer tourism for two projects in Tamale, Ghana: Zion Primary School and Tamale Children's Home. A practice approach provides a useful theoretical framework to investigate how volunteers and local actors interact in these projects. In a practice approach, interactions become central to the analysis, highlighting the ways in which volunteers, local people and the local context mutually influence one another. Observations and interviews with volunteers and local actors were used to identify positive and negative consequences of their interactions, which are strongly interlinked and depend on routines, backgrounds and positions of the actors, and contextual conditions. The consequences of volunteer practices are also linked to other current and future practices. A practice approach provides insights into complex situations and may be more suited to analysing the impacts of volunteer tourism than a traditional mono-disciplinary focus.
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In service design projects, collaboration between design consultant and service provider can be problematic. The nature of these projects requires a high level of shared understanding and commitment, which providers may not be used to. We studied designer-provider collaboration in multiple real-life cases, in order to uncover determinants for successful collaboration. The case studies involved six service innovation projects, performed by Dutch design agencies. Independent researchers closely monitored the projects. Additional interviews with designers and providers gave insights in how both parties experienced their collaboration in the innovation projects. During data analysis, a coding scheme was created inductively. The scheme supported us in formulating 12 themes for designer-provider collaboration, amongst them four contextual determinants of shared understanding and stakeholder commitment in SD-projects. The insights from this study were then grounded in literature. Knowledge gaps were identified on themes about agreements of responsibilities, the open-endedness of an SD-process, an opportunitysearching approach, and organizational change that is required for the successful implementation of innovative service concepts.
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