A collaborative approach to adopting/adapting guidelines. The Australian 24-hour movement guidelines for children (5-12 years) and young people (13-17 years): An integration of physical activity, sedentary behaviour, and sleep

Background In 2018, the Australian Government updated the Australian Physical Activity and Sedentary Behaviour Guidelines for Children and Young People. A requirement of this update was the incorporation of a 24-hour approach to movement, recognising the importance of adequate sleep. The purpose of this paper was to describe how the updated Australian 24-Hour Movement Guidelines for Children and Young People (5 to 17 years): an integration of physical activity, sedentary behaviour and sleep were developed and the outcomes from this process. Methods The GRADE-ADOLOPMENT approach was used to develop the guidelines. A Leadership Group was formed, who identified existing credible guidelines. The Canadian 24-Hour Movement Guidelines for Children and Youth best met the criteria established by the Leadership Group. These guidelines were evaluated based on the evidence in the GRADE tables, summaries of findings tables and recommendations from the Canadian Guidelines. We conducted updates to each of the Canadian systematic reviews. A Guideline Development Group reviewed, separately and in combination, the evidence for each behaviour. A choice was then made to adopt or adapt the Canadian recommendations for each behaviour or create de novo recommendations. We then conducted an online survey (n=237) along with three focus groups (n=11 in total) and 13 key informant interviews. Stakeholders used these to provide feedback on the draft guidelines. Results Based on the evidence from the Canadian systematic reviews and the updated systematic reviews in Australia, the Guideline Development Group agreed to adopt the Canadian recommendations and, apart from some minor changes to the wording of good practice statements, maintain the wording of the guidelines, preamble, and title of the Canadian Guidelines. The Australian Guidelines provide evidence-informed recommendations for a healthy day (24-hours), integrating physical activity, sedentary behaviour (including limits to screen time), and sleep for children (5-12 years) and young people (13-17 years). Conclusions To our knowledge, this is only the second time the GRADE-ADOLOPMENT approach has been used to develop movement behaviour guidelines. The judgments of the Australian Guideline Development Group did not differ sufficiently to change the directions and strength of the recommendations and as such, the Canadian Guidelines were adopted with only very minor alterations. This allowed the Australian Guidelines to be developed in a shorter time frame and at a lower cost. We recommend the GRADE-ADOLOPMENT approach, especially if a credible set of guidelines that was developed using the GRADE approach is available with all supporting materials. Other countries may consider this approach when developing and/or revising national movement guidelines.

A Conceptual Model of Organizational Voice with an Interpretive Structural Modeling Approach: A study on Yazd University, Iran

The present study aims to develop a conceptual model of organizational voice. The statistical population includes experts familiar with the organizational voice. Then, a comprehensive model of levels and the relations among organizational voice dimensions were drawn to be applied using interpretive structural modeling. The research findings introduce 10 dimensions including organizational structure, management and leadership, group and team, voice environment, job characteristics, human resources, conflict, motivation, and communication. Finally, the initial model of the research was drawn in five lines using the interpretive approach. The research findings show that experts believe there are 10 important factors in achieving organizational voice. According to the findings, character and management are considered the model foundation and they are the most important factors. The results, as a road map, can guide organization managers to achieve organizational voice. An innovative framework was developed by applying an interpretive structural modeling to propose a model.

Clinical Recommendations for Reducing the Risk of Cognitive Decline

As much as 40% of dementia cases can be attributed to modifiable risk factors (Livingston et al., 2020). Much of that risk-reduction can be accomplished by changing behavior in midlife. In light of the emerging evidence that dementia may be preventable, UsAgainstAlzheimer’s convened a workgroup of national experts to develop new recommendations that primary care clinicians and general neurologists can use to initiate primary prevention conversations with their patients about cognitive decline. Few resources address steps that clinicians can take in their routine care to help patients reduce risk. Some relevant resources provide excellent guidance but tend to be more focused on early detection or slowing disease progression rather than primary prevention. The Risk Reduction Workgroup (RRWG) was convened to help address the need for clinicians to know how to discuss cognitive decline with their patients. The workgroup aligned on 11 recommendations for primary care clinicians and general neurologists. In addition the RRWG provide considerations for implementing the recommendations in clinical practice. The recommendations are mindful of social determinants of health, account for cultural differences, and are designed for general accessibility. This effort is part of a broader initiative by UsAgainstAlzheimer’s to address risk-reduction for cognitive decline and early interventions. Under the guidance of a multidisciplinary Provider Leadership Group consisting of representatives from some of the nation's largest health provider serving organizations, three independent workgroups are developing guidance and tools to assist providers in their clinical practice and improve health outcomes for patients at-risk for Alzheimer's and related dementias.

The Role of Leadership Level in College Students’ Decision-Making: Evidence From Event-Related Potential Analysis

Although risk decision-making plays an important role in leadership practice, the distinction in behavior between humans with differing levels of leadership, as well as the underlying neurocognitive mechanisms involved, remain unclear. In this study, the Ultimatum Game (UG) was utilized in concert with electroencephalograms (EEG) to investigate the temporal course of cognitive and emotional processes involved in economic decision-making between high and low leadership level college students. Behavioral results from this study found that the acceptance rates in an economic transaction, when the partner was a computer under unfair/sub unfair condition, were significantly higher than in transactions with real human partners for the low leadership group, while there was no significant difference in acceptance rates for the high leadership group. Results from Event-Related Potentials (ERP) analysis further indicated that there was a larger P3 amplitude in the low leadership group than in the high leadership group. We concluded that the difference between high and low leadership groups was at least partly due to their different emotional management abilities.

How Can Nursing Teams Respond to Large-Scale COVID-19 Screening?

The COVID-19 virus has devastated lives and economies worldwide. The responses of nursing teams to large-scale COVID-19 screening have rarely been addressed or described. The aim of this study is to introduce an efficient response strategy for nurses in large-scale COVID-19 screening. A new COVID-19 case was confirmed on Jan 14, 2021 in Nanning, China. Immediately, a large-scale COVID-19 screening was launched and ran from Jan 14 to Jan 17, 2021. Our nurse team responding to the screening included three major components: (1) establishing a leadership group and a nucleic acid sampling emergency team; (2) defining, conducting, and evaluating nurse training; (3) implementing efficient sampling schemes (10 in 1 mixed sample technique). A total of 500 nurse volunteers were recruited and divided into three echelons. A total of 353 trained nurses were sent to 65 sampling stand stations. In cooperation with nurses from other health institutions, samples were collected from a total of 854,215 people in only 4 days for 2019-nCOV nucleic acid screening. The preparation and efficient response strategies used to conduct this screening may provide a baseline reference for future large-scale COVID-19 screening worldwide.

How Ethical Leadership Promotes Knowledge Sharing: A Social Identity Approach

The aim of this study is to investigate the associations among ethical leadership, group identification, relational identification, organizational identification, and knowledge sharing. This study conducted a survey in Taiwan to collect the data. The administrative group members of schools were invited to participate in this study. The sample included 510 participants, and the hypotheses were tested by using the path analysis and bootstrapping methods in the Mplus program to examine how ethical leadership influences knowledge sharing, through various means of identification. The results of this study show that ethical leadership has both a direct and indirect effect on knowledge sharing. There are two mediating paths in the ethical leadership-knowledge sharing relationship. Firstly, group identification mediates the relationship between ethical leadership and knowledge sharing. Secondly, ethical leadership has an influence on knowledge sharing by means of increased relational and organizational identification. This is a pioneering article that explores the psychological mechanism between ethical leadership and knowledge sharing, using the social identity approach. This study has shown that the social identity theory (SIT) is a useful and promising perspective for future research studies on ethical leadership-knowledge sharing.

Building Resiliency with Students of Color During the Pandemic: Providing Remote After-School Activities

As two Black male teachers, we knew the risks for our Black male students in our culture and the importance of keeping them safe and attending school. Keeping our students involved in our school community took on a new urgency when the pandemic hit and the country struggled with racial issues after the shooting of unarmed Black men and women. We adapted our after-school mentoring and leadership programs (that had been f2f) for young Black males and transformed them to after-school remote platforms. Secondary students participated in a remote football practice and training program. They were able to socialize with friends, receive support from their coaches, and retain academic eligibility. Elementary students enrolled in a leadership group were able to maintain connections with peers and mentors in one-on-one or small-group sessions. Our remote adaptations enabled our Black male students to connect with our school community during national crises that significantly impacted the Black community.

Factors Contributing to the Performance of Farmer Producer Organizations (FPOs) – a Study in Medak District of Telangana State

A study was conducted on the performance of FPOs and the factors contributing to performance of FPOs in Medak district of Telangana State, India. Three FPOs were selected randomly from 3 different promoting institutes viz., Suraksha Farmers Producer Company Ltd (SFPCL) promoted by independent research organization Centre for Sustainable Agriculture (CSA), Marpalli Kisan Kranthi Producer Company Ltd (MKKPCL) promoted by Vrutti NGO and Siddipet Kisan Agro Farmers Producer Company Ltd (SKAFPCL) promoted by International Crops Research Institute for the Semi-arid Tropics (ICRISAT). The Ex-post facto research design was adopted for the study with a sample of 90 producer members, covering three FPOs in erstwhile Medak district of Telangana State. From the analysis, it was found that overall performance of FPOs in Medak district was average to poor. The factors viz., education, group leadership, group communication, adherence to rules, group participation, and team spirit had showed positive and significant relationship with performance. The results of regression analysis inferred that all the selected twelve factors put together explained the variation to the extent of 72.47% in the performance of the FPO with leadership of officials and participation of members contributing significantly to the performance of FPOs.