Facilitators and Barriers to Developing, Implementing, and Evaluating Healthy Vending Policies in Four Cities

2020 ◽  
pp. 152483991990049
Author(s):  
Sarah Green ◽  
Karen Glanz ◽  
Julie Bromberg
Keyword(s):  
Lessons Learned ◽  
Common Source ◽  
Sales Data ◽  
Vending Machines ◽  
Semistructured Interviews ◽  
Public Areas ◽  
Multiple Case ◽  
The Impact ◽  
Nutrition Standards

Vending machines are a common source of low-nutrient, energy-dense snacks, and beverages. Many cities are beginning to adopt healthy vending policies in public areas, but evidence regarding best practices for developing, implementing, and evaluating these healthy vending polices is limited. This study used a mixed-methods, multiple case study design to examine healthy vending policies and initiatives in four cities. Data were collected between August 2017 and December 2017. Research staff worked with a designated contact person to coordinate site visits to each city where observations of the vending machines were conducted. Semistructured interviews were conducted with multiple stakeholders from each site and documents, including policies, vendor contracts, and nutrition standards, were reviewed. The following elements were identified as being essential to a healthy vending policy or initiative: having a champion and support from leadership, internal and external partnerships, and clear communication. Conducting regular compliance checks of the vending machines and the ability to obtain sales data, especially pre– and post–healthy vending policy sales data, continues to be a challenge. Stakeholders across all cities reported that concerns about profit–loss from the vendor and city revenue and procurement departments are barriers to adopting healthy vending policies. More research and evaluation are needed, as results are mixed regarding the impact on overall revenue/profits. This study yielded a variety of resources and “lessons learned” from those who have developed and implemented healthy vending policies and initiatives. This information should be used by others looking to influence healthier snacking behaviors through vending machines.

What we learned about using telerehabilitation combined with exergames, from clinicians and chronic stroke survivors: A multiple case study (Preprint)

2021 ◽  
Author(s):  
Dorra Rakia Allegue ◽  
Dahlia Kairy ◽  
Johanne Higgins ◽  
Philippe S Archambault ◽  
Francois Michaud ◽  
...  
Keyword(s):  
Virtual Reality ◽  
Motivational Interviewing ◽  
Multiple Case Study ◽  
Psychological Needs ◽  
Chronic Stroke ◽  
Lessons Learned ◽  
Stroke Survivors ◽  
Multiple Case ◽  
The Impact

BACKGROUND In Canada, chronic stroke survivors have difficulty accessing community-based rehabilitation services, due to lack of resources. VirTele, a personalized remote rehabilitation program combining virtual reality exergames and telerehabilitation, was developed to offer chronic stroke survivors the opportunity to pursue rehabilitation of their affected upper extremity (UE) at home, while receiving ongoing monitoring by a clinician. OBJECTIVE The objectives of this study were to: 1) Explore the determinants of VirTele use among chronic stroke survivors and clinicians; 2) Identify indicators of support of psychological needs by clinicians, during VirTele intervention; and 3) explore indicators of empowerment among stroke survivors. METHODS This multiple case study involved three chronic stroke survivors participating in a VirTele intervention and their respective clinicians (physiotherapists). VirTele is a two-month remote rehabilitation intervention, using non immersive virtual reality exergames and telerehabilitation aimed at improving UE deficits in chronic stroke survivors. Study participants had autonomous access to Jintronix exergames, which they were asked to use 5 times a week for 30 minutes periods. VirTele also included videoconference sessions with a clinician, 1 to 3 times a week (1-hour duration), using the Reacts application. During these sessions, the clinician was able to engage in motivational interviewing, supervise the stroke survivors’ use of the exergames and monitor the use of the affected UE through activities of daily life. Semi-directed interviews were conducted 4 to5 weeks after the end of the VirTele intervention. Two interview guides, adapted for clinicians and stroke survivors respectively, were developed to facilitate the interview administration while allowing new codes to emerge. All interviews were audiotaped and transcribed verbatim. RESULTS Three stroke survivors (2 females and 1 male), with a mean age of 58.8 years (SD=19,4), and two physiotherapists participated in the study. Five major determinants of VirTele use emerged from the qualitative analyses, namely the technology performance (usefulness, perception of exergames), effort (ease of use), entourage support (encouragement), facilitators (stroke survivors’ safety, trust and understating of instructions), and challenges (miscommunication, exergames limits). At the end of the VirTele intervention, both clinicians demonstrated support of psychological needs, in terms of autonomy, competence and relatedness, all of which were reflected as empowerment indicators in the three-stroke survivors. Lessons learned from using telerehabilitation combined with exergames were provided, which will be relevant to other researchers and transferable to other populations and contexts. CONCLUSIONS This multiple case study provided a first glimpse at the impact that motivational interviewing can have on adherence to exergames and behavior modification of UE use in stroke survivors. Five major determinants of VirTele use have been identified, namely technology performance, effort, entourage support, facilitators and challenges. Lessons learned from these determinants may serve as a model to guide the implementation of similar interventions. INTERNATIONAL REGISTERED REPORT RR2-10.2196/14629

scholarly journals Using patient feedback to drive quality improvement in hospitals: a qualitative study

BMJ Open ◽  
2020 ◽  
Vol 10 (10) ◽  
pp. e037641
Author(s):  
Simone Berger ◽  
Ana Maria Saut ◽  
Fernando Tobal Berssaneti
Keyword(s):  
Quality Improvement ◽  
Customer Service ◽  
Secondary Data ◽  
Study Data ◽  
Patient Feedback ◽  
Multiple Case ◽  
Net Promoter ◽  
The Impact ◽  
Quality Tools

ObjectivesAlthough different forms of patient feedback are available, their use in hospital management is still limited. The objective of this study is to explore how patient feedback is currently used in hospitals to improve quality.DesignThis is a qualitative exploratory multiple case study. Data collection included nine interviews, of an average duration of 50 min, conducted between March and June 2019. Additionally, a document and secondary data analysis were performed.SettingThis study was conducted in three Brazilian hospitals selected for their solid patient feedback practises.ParticipantsManagers from the customer service, quality, nursing, operations, projects and patient experience departments of the three hospitals.ResultsDespite literature suggesting that organisational objectives regarding patient feedback are not clear, data show that there is managerial concern regarding the promotion of an environment capable of changing according to patient feedback. In these instances, organisational processes were structured to focus on patients’ feedback and its receipt by the staff, including a non-punitive culture. Several patient feedback forms are available: voluntary events, patient surveys and informal feedback. Instruments to measure patient feedback focused on specific aspects of healthcare, to identify and clarify the problems for addressal by the management. The net promoter score was the main strategic indicator of patient feedback, used to assess the impact of improvement action.ConclusionsThe hospitals had established objectives that valued the patient’s perspective. Involvement of the health team, availability of different channels for feedback and the use of quality tools are considered a good basis for using patient feedback to drive quality improvement.

scholarly journals The impact of the COVID-19 pandemic on digital globalization

2021 ◽  
Vol 129 ◽  
pp. 06008
Author(s):  
Maria Loredana Popescu ◽  
Svetlana Platagea Gombos ◽  
Sorin Burlacu ◽  
Amza Mair
Keyword(s):  
Global Economy ◽  
World Economy ◽  
Value Added ◽  
Digital Transformation ◽  
Lessons Learned ◽  
Health Crisis ◽  
Main Research ◽  
Documentary Analysis ◽  
The Impact

Research background: After more than a year of the Covid-19 pandemic, we can investigate whether it caused a shock to the global economy, pushing for deglobalization, or on the contrary, it was a challenge for digital globalization and digital transformation of economies. Through this research we join the research contributions that examine the process towards digital globalization that characterizes the world economy, its impact on businesses, consumers, and governments. We also discuss the challenges posed by the crisis caused by the coronavirus pandemic to globalization and perhaps the acceleration of the digital transformation of economies. Purpose of the article: The aim of this research is to highlight the impact of the COVID-19 pandemic in the age of digital globalization. Methods: Documentary analysis, as the main research method, is doubled by a case study that allows us to highlight the specific characteristics of digital globalization. Findings & Value added: The findings of the research allowed us to highlight the essential aspects of digital globalization that were perhaps exacerbated by the Covid-19 pandemic, but which contribute greatly to understanding the phenomenon of globalization. Our research also reveals four lessons learned in the COVID-19 pandemic. We also present some considerations regarding the globalization after the health crisis.

scholarly journals Jornalismo e deliberação pública: um estudo de casos múltiplos Journalism and public deliberation: a multiple case study Periodismo y deliberación pública: un estudio de casos múltiples

2017 ◽  
Vol 39 (3) ◽  
pp. 5
Author(s):  
Solano Dos Santos Nascimento
Keyword(s):  
Social Problems ◽  
Multiple Case Study ◽  
Public Deliberation ◽  
Multiple Case ◽  
The Impact ◽  
The Relationship

ResumoO artigo apresenta o resultado de um estudo de casos múltiplos a respeito da relação entre três reportagens que trataram de problemas sociais – publicadas pela revista Época e pelos jornais O Globo e Correio Braziliense - e mudanças na legislação que teoricamente buscaram resolver os problemas apontados pelas reportagens. O estudo concluiu que houve influência das reportagens nas mudanças em leis, mas que esse impacto teve nuanças bastante distintas.AbstractThis report presents the results of a multiple case study about the relationship between three stories  that dealt with social problems - published by Época magazine and O Globo and Correio Braziliense newspapers  - and changes in legislation that theoretically sought to solve the problems pointed out by the stories . The study conclusion was that there was influence of the stories in laws  changes, the impact had quite different shades. ResumenEl artículo presenta el resultado de un estudio de casos múltiples acerca de la relación entre tres reportajes sobre problemas sociales-publicados por la revista Época y por los periódicos O Globo y Correio Braziliense - y cambios en la legislación que teóricamente buscaron resolver los problemas señalados por los reportajes . El estudio concluyó que hubo influencia de los reportajes en los cambios de leyes, pero que ese impacto tuvo matices muy distintos.

scholarly journals Innovation Motives in Family Firms: A Transgenerational View

2018 ◽  
Vol 44 (2) ◽  
pp. 256-287 ◽  
Author(s):  
Vanessa Diaz-Moriana ◽  
Eric Clinton ◽  
Nadine Kammerlander ◽  
G. T. Lumpkin ◽  
Justin B. Craig
Keyword(s):  
Family Firms ◽  
Fine Grained ◽  
Study Approach ◽  
Data Collection Process ◽  
Semistructured Interviews ◽  
Multigenerational Family ◽  
Multiple Case ◽  
Innovation Patterns

Drawing on the transgenerational entrepreneurship perspective, we employ a multiple case study approach to investigate why multigenerational family firms innovate. The data collection process drew upon five in-depth cases comprising 42 semistructured interviews, 25 participant observations, and several thousand pages of historical data dating from 1916 to 2017. We find patterns on how the firms’ long-term view—embracing both the past and the future—influences the innovation motives of these firms. Specifically, we identify three innovation patterns: conserving, persisting and legacy-building. We introduce a set of propositions and a framework linking long-term orientation dimensions to innovation motives and innovation outcomes. Our research thus contributes to a more fine-grained understanding of innovation behavior in family firms.

Coaches’ interpersonal emotion regulation and the coach-athlete relationship

2019 ◽  
pp. 37-51 ◽  
Author(s):  
Courtney Braun ◽  
Katherine A. Tamminen
Keyword(s):  
Emotional Intelligence ◽  
Emotion Regulation ◽  
Contextual Factors ◽  
Multiple Case Study ◽  
Emotional Expressions ◽  
Emotional Labour ◽  
Bidirectional Association ◽  
Multiple Case ◽  
The Impact

Researchers have examined the impact of coaches’ emotional expressions and emotional intelligence on athlete outcomes (Allan, V., & Côté, J. (2016). A cross-sectional analysis of coaches’ observed emotion-behavior profiles and adolescent athletes’ self-reported developmental outcomes. Journal of Applied Sport Psychology, 28, 321–337; Thelwell, R.C., Lane, A.M., Weston, N.J., & Greenlees, I.A. (2008). Examining relationships between emotional intelligence and coaching efficacy. International Journal of Sport and Exercise Psychology, 6, 224–235; van Kleef, G.A., Cheshin, A., Koning, L.F., & Wolf, S.A. (2018). Emotional games: How coaches’ emotional expressions shape players’ emotions, inferences, and team performance. Psychology of Sport & Exercise). However, there is little research examining coaches’ use of specific strategies to regulate their athletes’ emotions. The purpose of the present study was to explore the strategies coaches used to try and regulate their athletes’ emotions, and to explore the relationship and contextual factors influencing coaches’ IER strategy use. A longitudinal multiple case study approach was used (Stake, R.E. (2006). Multiple case study analysis. New York: The Guilford Press) with five cases, each consisting of one male coach and two individual varsity sport athletes (N = 15). Participants completed individual interviews, a two-week audio diary period, and a follow-up interview. Data were inductively and deductively analyzed and a conceptual model was developed outlining athletes’ emotions and emotion regulation, coaches’ IER, the coach-athlete relationship, and contextual factors. Participants described a bidirectional association between the coach-athlete relationship and coaches’ IER. A number of factors influenced athletes’ and coaches’ use of emotion regulation strategies and contributed to the quality of the coach-athlete relationship. The IER strategies that coaches used may reflect instrumental, performance-related motives, and coaches’ IER efforts may also contribute to coaches’ emotional labour.

scholarly journals Key lessons to maintain continuous improvement: A case study of four companies

2020 ◽  
Vol 13 (1) ◽  
pp. 195 ◽  
Author(s):  
Luis Paipa-Galeano ◽  
César A. Bernal-Torres ◽  
Luís Mauricio Agudelo Otálora ◽  
Yavar Jarrah Nezhad ◽  
Heither A. González-Blanco
Keyword(s):  
Continuous Improvement ◽  
Success Factors ◽  
Evaluation Model ◽  
Lessons Learned ◽  
Sustainable Improvement ◽  
Systematic Improvement ◽  
Multiple Case ◽  
Business Competitiveness ◽  
And Control

Purpose: The purpose of this paper is to analyze the conditions under which continuous improvement practices are developed and to determine what success factors and barriers affect the sustainability of these practices in order to establish strategies that reduce the risk of failure of improvement proposals in companies.Design/methodology/approach: The paper presents a rigorous review of the success factors and barriers in the implementation of continuous improvement models in companies and a multiple case study in which four successful companies located in Bogota, Colombia, were compared using Bessant's maturity model.Findings: The results suggest the existence of systematic improvement processes in the four companies analysed in favour of the improvement of business competitiveness. After a convergence exercise between the success factors identified in the literature and the routines of the evaluation model used to identify the maturity of the companies in terms of improvement, five strategic fronts were identified to achieve sustainable improvement proposals:(1)have management commit to the improvement and guarantee resources, (2) define a methodology to implement, (3) facilitate and systematize the information on the interventions, (4) design training programs and incentives to encourage employee involvement, and (5) generate a verification and control system to provide real-time feedback on the progress of the improvement actions.Research limitations/implications: This research paper was limited by the analysis of four large Colombian companies, which did not allow the generalizability of findings. Therefore, the study offers interesting insights on the empirical evidence on the lessons learned from continuous improvement practices in order to support managers on better decision making and for the academics on better understanding continuous improvement drivers.Originality/value: The present investigation provides a conceptual framework for future studies related to the sustainability of continuous improvement in industry, approaching this topic from a theoretical and practical perspective.

Environmental education in libraries – theoretical foundations and practical implementation

2020 ◽  
Vol 41 (4/5) ◽  
pp. 279-293 ◽  
Author(s):  
Małgorzata Fedorowicz-Kruszewska
Keyword(s):  
Sustainable Development ◽  
Environmental Education ◽  
Case Studies ◽  
New Paradigm ◽  
Professional Literature ◽  
Content Type ◽  
Multiple Case ◽  
Main Components ◽  
The Impact

PurposeThe purpose of this paper is to explain the concepts related to environmental education in the context of sustainable development, to indicate the links between them as well as to identify and organize elements of library activities that have the potential to implement environmental education.Design/methodology/approachThe method of analysis and criticism of scientific and professional literature and research reports was used. The multiple case study method was also used.FindingsAn analysis of literature and multiple case studies confirms the assumption that sustainable development is now a new paradigm of librarianship. Among the goals of sustainable development are environmental goals, which in libraries can be achieved through environmental education. A broad approach to environmental education has been proposed, which is implemented not only by using library services but also by building green collections, contacts with environmentally involved librarians, using ecological library infrastructure, observing sustainable management methods in libraries, cooperation between the library and the external environment in terms of the natural environment.Research limitations/implicationsAn analysis of 20 case studies was carried out regarding the implementation of pro-environmental measures in libraries. Examination of a larger number of case studies would probably give a more complete picture of this area of activity in libraries. The next stage of research should be the development of standards/guidelines in the field of environmental education in libraries, and then the development of methods and techniques for assessing the quality of library activities in this area and methods for assessing the impact of libraries on society and the environment in the field of environmental education.Practical implicationsThe paper indicates – based on case study analyses – those library elements that have potential in the field of environmental education. They were ordered in categories that were assigned to the three main components of a library: people, artefacts and processes.Social implicationsSustainable development is a new library paradigm. The paper focuses on the environmental area, specifically environmental education. It has been recognized that libraries have considerable potential for environmental education and should be seen as socially responsible organizations that take responsibility for the impact of their decisions and actions on society and the environment.Originality/valueThe paper explains the basic concepts of environmental education and the relationships between them. It defines the area of environmental education in libraries in terms of library activity elements that can be used to organize them according to the three main components of a library, which are people, artefacts and processes. The paper also indicates that sustainable development should be treated as a new paradigm of librarianship, and environmental education as a new research field of library and information science.

The Use of Interference Diagrams to Avoid Impeller Resonance: An Application to IGV Design

2009 ◽  
Author(s):  
Marco Ferioli
Keyword(s):  
Centrifugal Compressor ◽  
Natural Frequencies ◽  
Mode Shapes ◽  
Common Source ◽  
Operating Speed ◽  
Element Analysis ◽  
Exciting Frequency ◽  
Combine Information ◽  
The Impact

Interference diagrams can be used to avoid the potential excitation of a particular mode of vibration for centrifugal compressor impellers, thus reducing the risk of fatigue failures. Such diagrams are an excellent tool to combine information on impeller natural frequencies and mode shapes, excitation sources and operating speed of the machine on the same graph. Once the impeller design has been finalized in terms of aerodynamic performance, structural assessments and therefore geometry, Finite Element Analysis can be used to predict its natural frequencies and mode shapes (i.e. nodal diameters). Results can therefore be shown on a chart, together with the operating speed range of the machine. The need to plot on a single diagram this whole set of data arises from the mathematical evidence to consider the frequency of vibration together with the mode shape and the shape of the exciting force, while analyzing resonances. Typical Campbell diagrams are unable to provide this information at a glance. A common source of excitation for the first impeller of centrifugal compressors is the IGV set. Inlet Guide Vanes produce an exciting frequency that is directly proportional to the number of vanes N, where N represents also the shape of the excitation. The interference diagram can therefore be used: • to design and optimize the IGV for a new machine; • to choose between two different designs; • to evaluate the impact of a new IGV for the impeller of an existing compressor. A case study will be introduced, in order to show the application of interference diagrams to avoid potentially dangerous resonances between an IGV set and the first impeller during the re-design phase for a centrifugal compressor already in operation.

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