The Sustainable Innovation Design in Catering Service

COVID-19 has impacted the whole world since 2019, especially the dietary patterns of customers. Before the pandemic, some companies had been monitoring the operation data for health and food safety situations. It has become a vital mission to improve the food production and service process if the companies wish to pursue the sustainability of their businesses due to the general environment being changed by the epidemic. The sustainability of food systems inherently implies not only customer satisfaction but also the saving of costs. The catering service must find new ways to increase customer loyalty and satisfaction while implementing improved practices for building their brand image and modern decoration. The objective of this article is to discuss the service innovation process in order to investigate the interrelationships of catering environmental policy and psychological effects in the service function. The data were collected from a DINESERV questionnaire, comprised service quality standards, to increase the customer satisfaction for a mobile dining car. Finally, the TRIZ or Kano is a standardized measure designed to improve the idealization of strategy for selecting the most appropriate service quality model. This study presents the results from the survey and discusses future perspectives of increasing the sustainability of service within a catering information system.

A Deeper Understanding of Child to Parent Violence (CPV): Personal Traits, Family Context, and Parenting

The increase in the rate of child to parent violence is a concern for society in various countries. Different psychological and personal characteristics tend to define the profile of the minors who commit this type of offense. Various social factors have been also related to this type of violence, including exposure to violence, the family environment and parenting. The relationship between child to parent violence and previous exposure to violence has yet to be clarified. Comparatively little research on this crime involving samples from juvenile court has been undertaken. This study uses a standardized measure (YLS/CMI) to determine the extent to which three of the most extensively studied groups of factors in child to parent violence—the family context, parenting and the adolescents’ psychological characteristics are relevant in the predicting this type of violence. The sample consisted of a total of 342 juveniles from a Juvenile Court in Eastern Spain, dealt with under the terms of Organic Law 5/2000 regulating the Criminal Responsibility of Minors. A child to parent violence group is compared with a control group committing the entire range of offenses. Personal variables, antisocial personality and exposure to violence play a clear role in the commission of this type of crime. Parenting has a determinant influence even when compared with family characteristics. What affects the commission of this type of violence in the most serious cases is therefore not having been exposed to it, but instead the individual’s upbringing and their current relationship with their parents.

Assessment of Attentional Processes in Patients with Anxiety-Depressive Disorders Using Virtual Reality

To characterize the attention deficits in one-hundred-fifteen participants, comprising two types of clinical profiles (affective and anxiety disorder), through a test of continuous VR execution. Method: Three tests (i.e., Nesplora Aquarium, BDI, and STAI) were used to obtain a standardized measure of attention, as well as the existence and severity of depression and anxiety, respectively. Results: Significant differences (CI = 95%) were found between the control group and the group with depression, in variables related to the speed of visual processing (p = 0.008) in the absence of distractors (p = 0.041) and during the first dual execution task (p = 0.011). For scores related to sustained attention, patients with depression and those with anxiety did not differ from controls. Our results suggest attentional deficits in both clinical populations when performing a continuous performance test that involved the participation of the central executive system of working memory.

A Study on the Development and Validation of an Intergenerational Solidarity Measuring Tool Using Mixed Methods

Intergenerational conflicts caused by rapid socioeconomic changes have highlighted the importance of strengthening intergenerational solidarity, emphasizing the necessity of tool designed to measure intergenerational solidarity. This study developed a standardized intergenerational solidarity measurement tool using mixed methods. In the qualitative research stage, 27 main survey questions were derived through literature research, in-depth interviews, and content validity verification. In the quantitative research stage, based on the results of a survey of 1,109 adults, both exploratory and confirmatory factor analyses of the questions were conducted, and the validity of the questions was confirmed. The analysis results were used to develop a 10-item measurement tool consisting of two factors: “recognition of intergenerational solidarity in the family” and “recognition of social intergenerational solidarity.” This study is the first attempt to develop a standardized measure of intergenerational solidarity, and it can be used for nationwide panel surveys in academic and policy research.

Pre-fracture Mobility Using Standardized Scale as an Early Indicator of High Health Risk in Patients with a Hip Fracture

Hip fracture in older adults is associated with poor prognosis. We tested the hypothesis that a single standardized measure, pre-fracture mobility, can be used as an early indicator of patients at high health risk after a hip fracture. Analysis of prospectively collected data of older adults admitted with a hip fracture between April-2009 and June-2019 in a single NHS hospital, UK. Pre-fracture mobility status (freely mobile, mobilising outdoors with one aid or with two aids, and limited to indoors), was used to predict length of stay (LOS) and mortality in hospital, and discharge destination. Among 3073 (2231 women, 842 men) admitted from their own home (mean ± SD age = 82.7 ± 9.3 yr), 159 died and 2914 survived to discharge: 1834 back to their home, 772 to rehabilitation, 66 to residential care, 141 to nursing care and 101 to unknown destinations. Compared with LOS of 15.9 ± 15.6 days in patients who mobilised freely before fracture (reference), those who were able to mobilise outdoors with one aid stayed 3.5 days, and those with two aids or confined to indoor mobility stayed one week longer in hospital. In-patient mortality was increased among patients who mobilised outdoors with two aids: OR = 2.1 (95%CI = 1.3–3.3), and those limited to indoors: OR = 2.1 (1.3–1.5). Finally, a change in residence on discharge was more likely in those who mobilised outdoors with two aids (OR = 1.8, 95%CI = 1.2–2.6), and those limited to indoors (OR = 1.9, 95%CI = 1.2–2.9). In conclusion, pre-fracture mobility may be a useful early indicator for identifying patients at increased risk of adverse outcomes after an acute hip fracture.

From Each According to Means, to Each According to Needs? Distributional Effects of Abolishing Asset-Based Payments for Residential Care in Austria

BackgroundMost countries in Europe require out-of-pocket payments (OPPs) for nursing homes based on users’ income and often assets. This was also the case in Austria until 2018 when asset-based contributions to residential care —denoted the ‘Pflegeregress’ – were abolished, leaving a shortfall in revenue. We aim to determine how the Pflegeregress was distributed across different groups in Austria prior to 2018, what the distributional consequences of its abolishment were, and what the distributional impact of different financing alternatives would be.MethodsCircumventing data availability issues, we construct a micro-simulation model using a matched administrative dataset on residential care users receiving the Austrian care allowance (Pflegegeldinformation, PFIF, HVB, and Pflegedienstleistungsstatistik, Statistik Austria) and survey data (SHARE, wave 6). Using this model, we estimate the expected duration of residential care and OPPs under the Pflegeregress of a representative sample of older people aged 65+ in Austria, as well as OPPs under budgetary neutral financing alternatives to the abolished asset-based contribution, namely an inheritance tax and a social insurance scheme. The distributional impact of abolishing the Pflegeregress and these alternative scenarios is assessed through a number of measures, such as ability to pay, Concentration Indices (CI) and a needs-standardized measure.ResultsWe find that lower income individuals and homeowners disproportionately contributed to asset-based OPPs for residential care prior to 2018 due in large part to their higher use of residential care and the low asset-exemption thresholds. These groups were therefore the largest beneficiaries of its abolishment. The alternative financing scenarios tested would result in a more progressive distribution of payments (i.e. concentrated on more affluent individuals). ConclusionOur findings indicate the limited ability of asset-based OPPs to target those with higher assets, thus questioning the fairness of these instruments for financing residential care facilities for older people in Austria. Findings also suggest that the parameterization of such OPPs (such as asset exemption thresholds) and patterns of residential care use are key variables for assessing the distribution of asset-based OPPs for residential care use. Policy alternatives that decouple payments from use would entail greater transfers from healthy to less healthier individuals.

The Spiritual Needs Questionnaire in Research and Clinical Application: a Summary of Findings

To provide spiritual care, an assessment and documentation of patients´ spiritual struggles and/or their spiritual needs is required to initiate appropriate support planning processes. For that purpose, the Spiritual Needs Questionnaire (SpNQ) was developed in 2009 as an easy to apply standardized measure. The tool has so far been translated into numerous languages and is widely used as a valid and reliable instrument to assess a wide range of spiritual needs of patients with chronic diseases, elderly, adolescents, and healthy persons. Its four main factors address Religious needs, Existential needs, Inner Peace needs, and Giving/Generativity needs. Here, the main findings are summarized and discussed.

Psychometric Properties of the Fear of COVID-19 Scale (FCV-19S) in a Palestinian Context

In thecurrent study the Fear of COVID-19 Scale (FCV-19S), a newly emerginginternationally standardized measure of anxiety related to being exposed to orcontracting COVID-19, was translated and validated for a Palestinian context toinsure that it can be used as a measure of COVID-19 fear and to begin toidentify factors that affect this phenomenon including gender (with femaleshaving more fear than males), education (individuals without college degreedemonstrating higher levels of fear) and smoking status (with smokersdemonstrating higher levels of fear than non-smokers). The scale demonstratedhigh level of validity and reliability in a Palestinian context and thereforcan be considered for future studies as the COVID-19 pandemic persists. Furtherinvestigations using the Arabic Language of FCV-19S may have far reachingimplications for measuring and combating the fear of COVID-19 at a personal andsocietal level for uniquely at risk populations such as in the occupiedterritories of Palestine.

A Simulation Study of Diagnostics for Selection Bias

A non-probability sampling mechanism arising from nonresponse or non-selection is likely to bias estimates of parameters with respect to a target population of interest. This bias poses a unique challenge when selection is ‘non-ignorable’, that is, dependent on the unobserved outcome of interest, since it is then undetectable and thus cannot be ameliorated. We extend a simulation study by Nishimura et al. (2016) adding two recently published statistics: the ‘standardized measure of unadjusted bias’ (SMUB) and ‘standardized measure of adjusted bias’ (SMAB), which explicitly quantify the extent of bias (in the case of SMUB) or nonignorable bias (in the case of SMAB) under the assumption that a specified amount of nonignorable selection exists. Our findings suggest that this new sensitivity diagnostic is more correlated with, and more predictive of, the true, unknown extent of selection bias than other diagnostics, even when the underlying assumed level of non-ignorability is incorrect.

Mothers’ and Children’s Mental Health During the COVID-19 Pandemic Lockdown: The Mediating Role of Parenting Stress

The present study, carried out during the first peak of the COVID-19 outbreak in Italy, aimed at investigating the mental health of mothers and children during the nationwide lockdown. More specifically, the study investigated children’s depression and mothers’ individual distress and parenting stress, in comparison with normative samples. The mediating effect of mothers’ parenting stress on the relationship between mothers’ individual distress and children’s depression was also explored. Finally, the study analyzed whether children’s biological sex and age moderated the structural paths of the proposed model. A sample of 206 Italian mothers and their children completed an online survey. Mothers were administered self-report questionnaires investigating individual distress and parenting stress; children completed a standardized measure of depression. Mothers’ individual distress and parenting stress and children’s depression were higher than those recorded for the normative samples. Mothers’ parenting stress was found to mediate the association between mothers’ individual distress and children’s depression. With respect to children, neither biological sex nor age emerged as significant moderators of this association, highlighting that the proposed model was robust and invariant. During the current and future pandemics, public health services should support parents—and particularly mothers—in reducing individual distress and parenting stress, as these are associated with children’s depression.