OBJECTIVE: Examine the feasibility and acceptability of a social identity-informed, online delivered, running and walking group program to support low-active post-secondary students\' exercise behavior and well-being during the COVID-19 pandemic.
METHODS: A two-arm, non-blinded, parallel pilot randomized controlled trial was conducted whereby low-active post-secondary students at a Canadian university were equally randomized to an online delivered running/walking group program or an attention control condition. Primary feasibility and acceptability outcomes included program interest, study enrolment and retention, questionnaire completion, program attendance, program satisfaction, and affective exercise attitudes. Post-program interviews were conducted to ascertain participants\' experiences with the program. Secondary outcomes included well-being, exercise behavior, social identity, social support, and exercise identity.
RESULTS: Ninety-two individuals were screened for eligibility, and 72 were equally randomized to the online group program or attention control condition. Recruitment exceeded the target sample size (60), study adherence and questionnaire completion were above 90%, program attendance was moderate (M = 5.03/8), self-report program satisfaction was moderate-to-high (M = 4.13/5), and there was no condition effect for affective attitudes. During interviews, participants expressed satisfaction with the program. They also discussed challenges with developing a shared sense of identity and social connection with group members via online platforms. There were small condition effects for exercise-related well-being and exercise identity and no condition effects for the remaining secondary outcomes. Social identity scores were moderate (M = 4.63/7).
CONCLUSIONS: The STRIDE program was feasible and acceptable but should be delivered and piloted in-person before a full-scale efficacy trial is conducted.
BACKGROUND: ClinicalTrials.gov NCT04857918; 2021-04-20.

BACKGROUND: Persons with multiple chronic conditions face complex medical regimens and clinicians may not focus on what matters most to these patients who vary widely in their health priorities. Patient Priorities Care is a facilitator-led process designed to identify patients\' priorities and align decision-making and care, but the need for a facilitator has limited its widespread adoption.
OBJECTIVE: The aims of this study are to design and test mechanisms for patients to complete a self-directed process for identifying priorities and providing their priorities to clinicians.
METHODS: The study involved patients of at least 65 years of age at 2 family medicine practices with 5 physicians each. We first tested 2 versions of an interactive website and asked patients to bring their results to their visit. We then tested an Epic previsit questionnaire derived from the website\'s questions and included standard previsit materials. We completed postintervention phone interviews and an online survey with participating patients and collected informal feedback and conducted a focus group with participating physicians.
RESULTS: In the test of the first website version, 17.3% (35/202) of invited patients went to the website, 11.4% (23/202) completed all of the questions, 2.5% (5/202) brought results to their visits, and the median session time was 43.0 (IQR 28.0) minutes. Patients expressed confusion about bringing results to the visit. After clarifying that issue in the second version, 15.1% (32/212) of patients went to the website, 14.6% (31/212) completed the questions, 1.9% (4/212) brought results to the visit, and the median session time was 35.0 (IQR 35.0) minutes. In the test of the Epic questionnaire, 26.4% (198/750) of patients completed the questionnaire before at least 1 visit, and the median completion time was 14.0 (IQR 23.0) minutes. The 8 main questions were answered 62.9% (129/205) to 95.6% (196/205) of the time. Patients who completed questionnaires were younger than those who did not (72.3 vs 76.1 years) and were more likely to complete at least 1 of their other assigned questionnaires (99.5%, 197/198) than those who did not (10.3%, 57/552). A total of 140 of 198 (70.7%) patients responded to a survey, and 86 remembered completing the questionnaire; 78 (90.7%) did not remember having difficulty answering the questions and 57 (68.7%) agreed or somewhat agreed that it helped them and their clinicians to understand their priorities. Doctors noted that the sickest patients did not complete the questionnaire and that the discussion provided a good segue into end-of-life care.
CONCLUSIONS: Embedding questionnaires assaying patient priorities into patient portals holds promise for expanding access to priorities-concordant care.

UNASSIGNED: Self-concordant goals are those that align closely with an individual\'s intrinsic interests and values, driving autonomous motivation, and resulting in higher satisfaction and goal achievement. The relevance of studying the link between ego identity and goal self-concordance lies in understanding how a well-defined ego identity can foster the pursuit of authentic and fulfilling goals.
UNASSIGNED: This study investigates the relationship between ego identity and goal self-concordance, focusing on how individuals\' sense of identity influences their alignment with personal goals.
UNASSIGNED: Data were gathered through a cross-sectional analysis of 292 students and a longitudinal follow-up with 98 participants over two intervals.
UNASSIGNED: Results confirmed significant correlations between ego identity status and various dimensions of goal self-concordance. Notably, different ego identity statuses exhibited distinct levels of goal self-concordance, ranked from highest to lowest as follows: identity achievement, achievement-foreclosure intermediate, moratorium, foreclosure, moratorium-diffusion intermediate, and diffusion. Cross-lagged analysis revealed a causal relationship where ego identity influences goal self-concordance, providing insights into the cognitive and behavioral processes involved in goal setting.
UNASSIGNED: This study extends the implications of the goal self-concordance model and reveals a causal relationship between ego identity status and goal self-concordance. From a practical perspective, our findings suggest that educational and developmental interventions aimed at supporting identity development and commitment could lead to more self-concordant goal setting. Such programs could ultimately promote greater well-being and personal growth among students.

UNASSIGNED: Corporate environmental citizenship receives little scholarly attention and the definitions remain unclear due to past studies defining corporate environmental citizenship in different perspectives.
UNASSIGNED: The aim of this paper is to clarify the conceptualization of corporate environmental citizenship. It also proposes a plausible and useful definition for corporate environmental citizenship.
UNASSIGNED: Previous environmental related studies are selected based on their relevance to the definitions. The selected studies then are examined to propose the new definition of corporate environmental citizenship. The online databases being utilized are ScienceDirect, Emerald, Taylor and Francis and Ebscohost.
UNASSIGNED: The new definition of corporate environmental citizenship is proposed: managerial recognition on the importance of environmental issues and integrating the environmental concerns into the organizational process.
UNASSIGNED: This study hopes to provoke more discussions about the definitions of corporate environmental citizenship as corporate environmental citizenship\'s definition has attracted very little attention so far. This paper provides useful understanding for managers regarding the roles of corporate environmental citizenship. This is important as they strive to excel in the business performance in the highly competitive market. This in turn facilitates them to focus their business strategies.

BACKGROUND: This study explores how the goals of collaboration in the return-to-work (RTW) process for people with common mental disorders are described by the stakeholders involved, and how they experience stakeholders\' roles and responsibilities in relation to these goals.
METHODS: Interviews were conducted with 41 participants from three Swedish regions. Nine of the participants were workers, six employer representatives, four occupational health professionals, four social insurance officers, 18 RTW coordinators and five physicians. Thematic analysis was conducted.
RESULTS: Three main themes and overarching goals when collaborating on RTW were identified. In the first theme, \'creating an informative environment\', all stakeholders emphasised clear roles and responsibilities. The second theme, \'striving for consensus in an environment of negotiations\', addressed negotiations about when and how to collaborate, on what and with whom, and reveal different views on stakeholders\' goals, roles and responsibilities in collaboration. The third theme identified goals for \'creating a supportive environment\' for both workers and other stakeholders. Coordinators are found to have an important role in achieving a supportive environment, and in neutralising power imbalances between workers and their employers and social insurance officers.
CONCLUSIONS: Competing goals and priorities were identified as hindering successful collaboration, contributing to a spectrum of complex versus easy RTW collaboration. This study suggests some basic conditions for achieving a collaborative arena that is neutral in terms of power balance, where all stakeholders can share their views.

The embodied approach argues that interaction with the environment plays a crucial role in brain development and that the presence of sensory effects generated by movements is fundamental. The movement of the fetus is initially random. Then, the repeated execution of the movement creates a link between it and its sensory effects, allowing the selection of movements that produce expected sensations. During fetal life, the brain develops from a transitory fetal circuit to the permanent cortical circuit, which completes development after birth. Accordingly, this process must concern the interaction of the fetus with the intrauterine environment and of the newborn with the new aerial environment, which provides a new sensory stimulation, light. The goal of the present review is to provide suggestions for neuroscientific research capable of shedding light on brain development process by describing from a functional point of view the relationship between the motor and sensory abilities of fetuses and newborns and the increasing complexity of their interaction with objects in the womb and outside of it.

暂无摘要。

The \"Big Five\" European football leagues, comprising England\'s Premier League, Germany\'s Bundesliga, Spain\'s La Liga, Italy\'s Serie A, and France\'s Ligue 1, command significant attention. While the occurrence of goals, substitutions, and fouls in football games is often considered random, of the presence of an inherent inevitability is unclear. To investigate, we analyzed a public dataset detailing timing of goals, substitutions, and yellow cards in regular time from WhoScored across three seasons (2018-2019, 2019-2020, 2020-2021) in the top five European football leagues. We employed various mathematical descriptive models (including linear, sigmoid, and gaussian functions) to measure the temporal tendency of goals, substitutions, and yellow cards. Our results indicate that, whether in the first or second half of the match, the temporal distribution of these elements exhibits evenness a (indicative of randomness). However, specific characteristics were discerned through distinct model parameters, capturing novel phenomena that were intuitively illustrated. Furthermore, we explored the interaction of the timing of goals, substitutions, and yellow cards. In this analysis we found that scoring in the second half leads to more substitutions and yellow cards. Changing players in the second half corresponded with more goals, while the impact of yellow card fouls showed no differences in goals in the first and second halves. Our research is the first to systematically study the laws of modern football matches, providing valuable guidance and reference for many football coaches.

UNASSIGNED: This is a systematic review of prescribing, clinical, patient-reported, and health utilization outcomes of goal-directed medication reviews in older adults.
UNASSIGNED: A systematic review was conducted using MEDLINE, EMBASE, SCOPUS and CINAHL databases to identify studies examining outcomes of goal-directed medication reviews in humans, with mean/median age ≥ 60 years and in English.
UNASSIGNED: Seventeen out of 743 articles identified were included. Whilst there were inconsistent findings regarding changes in the number of medications between groups or post-intervention in one group (n = 6 studies), studies found reductions in drug-related problems (n = 2) and potential to reduce anticholinergics and sedatives (n = 2). Two out of seven studies investigating clinical outcomes found improvements, such as reduced hospital readmissions and improved depression severity. One study found 75% of patients achieved ≥ 1 goals and another found 43% of goals were achieved at six months. Four out of five studies found significant improvements in patient-reported quality of life between groups (n = 2) or post-intervention in one group (n = 2). Both studies investigating cost-effectiveness reported the intervention was cost-effective.
UNASSIGNED: There is evidence of positive impact on medication rationalization, quality of life and cost-effectiveness, supporting goal-directed medication reviews. Larger, longitudinal studies, exploring patient-focused outcomes may provide further insights into the ongoing impact of goal-directed medication reviews.

There are two strategies for scheduling personal goals: (i) clock-time, based on time passage; and (ii) event-time, based on the progress made. Neither strategy is always superior to the other; rather it is necessary to consider the environment and other conditions such as whether the goal is long or short term. We focused on goal lengthas an important factor for determining the best scheduling strategy, hypothesizing that clock-time and event-time strategies would differentially activate higher performance for long-term and short-term goals, respectively. Thus, we conducted a two-part laboratory experiment (Part 1: n = 63, Part 2: n = 86 ) in which we manipulated both goal length and scheduling strategy. Subsequently, we examined the effects of each combination of goal length and scheduling strategy on task performance (i.e., completion of a mathematical problem). Although our two studies were designed identically in most respects, they differed in the number of task problems, task time limits, and question content. Our data supported our hypothesis that clock-time scheduling was optimal for long-term goals while event-time scheduling was optimal for short-term goals.