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Across Africa, disruptive digital frugal innovations (DDFIs) are evolving as potent catalysts for sustainable development. This research explored into the complex interplay between DDFI and sustainability, moving beyond traditional narratives of mere affordability to discover its potential for transformative change across environmental, social, and economic dimensions. This chapter sought to firstly unravel the multifaceted relationships between DDFI and Sustainable Development Goals (SDGs) in diverse African contexts; secondly it examined the socioeconomic and environmental impacts of DDFI across key sectors, thus healthcare and agriculture, identifying both positive contributions and unintended consequences. Diffusion of innovation theory formed the lens of the study; qualitative data were analyzed according to emerging themes. Research findings revealed that implementation of DDFI exhibits immense potential to address critical sustainability challenges, empowering communities through social inclusion, improve access to essential services, and empower marginalized communities to actively participate in development processes. Data privacy, intellectual property rights, and potential exploitation of communities were some of the challenges noted which require careful consideration and responsible innovation practices. The study recommends to foster inclusive cocreation processes that involve local communities in needs assessment, design, and implementation of DDFI solutions and bridge the digital divide through investing in robust infrastructure development, digital literacy programs, and affordable access to technology.

Wine consumption is declining, while cannabis use among young adults in Germany has surged. With new laws partially legalising recreational cannabis, advocates claim it could replace alcohol, offering health benefits and cost savings. However, concerns remain that cannabis might increase alcohol consumption and associated health risks. Despite recognition of both substitute and complementary relationships between cannabis and alcohol, data on the cannabis–wine relationship is scarce. This study aims to understand the motivations behind wine and cannabis consumption, segment wine drinkers by those motives, profile wine drinkers who also consume cannabis and determine whether wine and cannabis act as substitutes or complements across distinct consumer groups.

The authors conducted an online survey using random sampling and used cluster analysis to identify consumer segments based on motivations for wine consumption. Exploring various variables, including consumption motives, behavioural patterns and socio-demographics, the authors also examined cannabis consumption among wine drinkers.

This study surveyed 523 German wine drinkers aged 20–60 years, including 215 cannabis users. Four consumer segments emerged: “adaptive conformists”, “expansive strategists”, “self-conscious hedonists” and “ambivalent drinkers.” Three segments preferred wine for social and enhancing effects. “Adaptive conformists”, the group with the most cannabis users, sought negative reinforcement like conformity or coping. The “adaptive conformists” and “expansive strategists” show the tendencies of a complementary cannabis–wine relationship.

This study pioneers the use of the Marijuana Motives Measure scales, developed by Simons et al. (1998), within the motivational framework by Cox and Klinger (1988) and Cooper et al. (2015), for wine drinkers. To the best of the authors’ knowledge, this is also the first to categorise wine drinkers into segments based on MMM scales for both wine and cannabis and segment wine consumers using cannabis.

The purpose of this paper is to explore the dynamic relationship between formal and non-formal processes of accountability in a public services context.

The paper presents a case study of the impact of the Health and Social Care Act (2012) on the practices of Health and Wellbeing Board (HWB) members. It draws upon multiple data sources, including in-depth interviews with the members, comprehensive archival data published by the HWB (2011–2019), and observations of HWB public meetings. We utilise the concept of dynamic duality (Li, 2008) to further theorise the relationship between formal and non-formal processes of accountability and how they mutually transform one another.

The case illustrates the role of formal and non-formal processes of accountability at a HWB in England. Moreover, the case study reveals the relationship and interaction between the formal and non-formal accountability processes and how they change and transform each other over time. We find that whilst non-formal accountability processes were strengthened by a historical legacy of partnership working, over time the dynamics at play led to the development of formal accountability processes through more sophisticated performance systems, which in turn transformed non-formal accountability processes.

The paper presents a more holistic conceptualisation than articulated in prior accountability literature, dynamic duality, on the relationship between formal and non-formal accountability processes. Through application of this conceptualisation to a HWB in England, the paper spotlights the inter-relationship between formal and non-formal processes of accountability, and how they have the potential to transform each over an extended time-period.

In persons with an intellectual developmental disorder, obsessive-compulsive disorder (OCD) and autism spectrum disorder (ASD) are often difficult to differentiate, particularly when patients present major communication difficulties and low accessibility to subjective symptoms and clinicians are poorly trained in the specific psychopathological phenomenology. OCD and ASD share some important symptoms such as repetitiveness of behaviours, low flexibility to contextual variations or a narrow range of interests. The purpose of this study is to identify and describe symptomatological specificities, including how they manifest at behavioural level.

The present study is a retrospective case series study (n = 3) focusing on in-depth assessment, detection and comprehension of symptomatological specificities as well as on the direct observation of behavioural symptoms.

Some symptoms such as signs of sudden autonomous nervous system activation or behavioural equivalents of obsessive thoughts are crucial in achieving an effective differential or comorbidity diagnosis. These symptoms can be identified through a multidisciplinary and comprehensive evaluation, integrating present clinical and test findings with a thorough developmental and medical history. Symptoms should also be interpreted in the light of antecedent, contextual and personal factors.

Differential diagnosis between OCD and ASD in persons with major cognitive and communication issues is a rather neglected research area, although it has significant implications for treatment planning and implementation.

This study aims to examine the association between audit partner busyness and audit quality. Moreover, this research investigates whether boardroom gender diversity moderates the relationship between audit partner busyness and audit quality in Australia.

The study sample consists of all public companies listed on the Australian Stock Exchange from 2005 to 2014. The data is obtained from SIRCA and the Morning Star databases. The study uses fixed effects and logistic regression techniques to test the relationship between audit partner busyness, boardroom gender diversity and audit quality.

The collected empirical evidence shows that audit partner busyness is negatively associated with audit quality. In contrast, boardroom gender diversity moderates the relationship between audit partner busyness and audit quality. More specifically, the results suggest that board gender diversity mitigates the negative impact of audit partners’ busyness on the audit quality. The results are robust to endogeneity and alternative definitions of audit partner busyness, boardroom gender diversity and audit quality.

The study’s findings will be of interest to policymakers, regulators and investors in the Australian market. The results show the importance of gender-diverse boards in companies’ audit functions, particularly in the presence of busy audit partners, and hence support the call for more women on corporate boards in Australia. Moreover, the results call for a cap or upper limit on the number of clients an audit partner can take on based on their capacity.

The authors contribute to the growing literature on board gender diversity, audit partner busyness and audit quality. Although a plethora of prior literature suggests a negative association between audit partner busyness and audit quality, the results suggest that women in the boardroom positively moderate the relationship between audit partner busyness and audit quality.

The purpose of this paper is to explore the bias of psychiatrists and other healthcare staff’s perception of “presenting psychosis”. The purpose of this paper is twofold: first, to suggest that psychosis, rather than residing in the individual, can be triggered by a hostile ward environment (e.g. very loud emergency alarms) as well as the negative attitudes of staff and friction with other service users; second, to argue that psychosis is not just in the person’s mind but interpreted and negatively labelled by psychiatrists and other healthcare professionals.

This paper is based on the lived experience of Ben, who was first diagnosed with schizophrenia in 2003 (when he spent two years in and out of a mental health unit). Ben had a relapse in 2013 and spent six full months in the same unit. Ben has been working as a peer worker on the same ward he was on as a patient for the last 17 months. This paper is informed by participant observation as a patient and peer worker, particularly reflecting on the general ward environment, ward reviews and punitive action faced by Ben and other service users. The title of this paper is based on occasions when Ben has been told that he cannot interact or take service users on leave off the ward, because they were “presenting psychosis”.

Ways of judging whether someone is presenting psychotic behaviour sounds straightforward enough but in fact can be quite complex. Whether someone is presenting psychotic behaviour is open to interpretation. Psychotic behaviour is perceived as latent or inherent within the individual by psychiatry. This paper makes the case that presenting psychotic behaviour is in fact a construct or interpretation by psychiatrists that works to limit people’s freedom, coerce them, take away their leave off the ward and voice, and which expresses power imbalances between staff and service users. The impact for service users of psychiatrists and staff’s decision-making can lead to service users being angry and upset, a negative ward environment and feelings of unfreedom. A good example is that service users present psychotic behaviour due to a hostile and frightening ward environment, with loud emergency alarms (like sirens) and the threat of restraint, restrictive practice and seclusion in de-escalation rooms being used as a threat.

People with mental illness, particularly schizophrenia like Ben, can be stereotyped as psychotic, aggressive and dangerous or a risk to themselves and others. While this can sometimes be the case the majority of people with mental illness that Ben has interacted with for over 20 years could be described as “broken” and in need of care, fixing and giving them hope in their recovery. This paper is of value because it draws on over twenty years of experience of the lived experience of Ben and his diagnosis of the harmful label of schizophrenia. It describes the added value of peer work in an in-patient mental health unit. It also introduces the new idea of “clemency”.

The UKU Side Effect Rating Scale for Adults with Intellectual Disabilities (UKU-SERS-ID) was developed to detect side effects in patients with intellectual disabilities who receive psychotropic medication. The aim of the present study was to examine the frequency and distribution of the side effects of psychotropic medication in persons with intellectual disabilities.

In all, 100 patients receiving in- and outpatient treatment participated in this study. The UKU-SERS-ID, encompassing 34 items, was scored for all participants at two time points. T1 was the baseline rating, and T2 was scored around two to four weeks after starting on new medication.

Mean scores on the psychological side effects scale were found to be substantially higher than on any other scale, especially the items tension/inner unrest and depressed mood. The patients most frequently received antipsychotic medication, as well as a combination of antipsychotic and antidepressants or antianxiety medication. The study sample was highly heterogeneous, and missing baseline information prevented assumptions being made about causality. The analyses revealed no increase or decrease from T1 to T2 for the side effects measured in the study group.

Further research is necessary on the association between the side effects and specific groups of psychotropic medication.

The UKU-SERS-ID may be a feasible tool in clinical practice on an individual level.

Monitoring of side effects for patients using psychotropic medication.

Studies of side effects from the use of psychotropic medication in people with ID is still sparse. This study may hopefully contribute to an increased interest in this topic.

Investigating the role of leadership during the COVID-19 pandemic in maintaining the well-being and performance of the medical personnel, as frontline workers, is of major importance. The aim of this study was to investigate the relationships between engaging leadership in health care during COVID-19 pandemic and followers’ work engagement and performance and to test the mediating role of followers’ basic psychological need satisfaction in these relationships.

A cross-sectional study was conducted on a sample consisting of 200 health-care employees. Data were collected starting with May 2020 and ending with November 2020, during the COVID-19 pandemic. Participants reported on the engaging leadership of their direct supervisor and on their own psychological need satisfaction, work meaningfulness, work engagement and quality of care.

The positive association between engaging leadership and followers’ work engagement was fully mediated by followers’ basic needs satisfaction. The relationship between engaging leadership and followers’ quality of patient care was not supported. Work meaningfulness did not mediate the link between engaging leadership and followers’ engagement.

By meeting followers’ needs for autonomy, competence and relatedness, engaging leaders can stimulate followers’ work engagement during outbreaks and other similar crises. Managers in health care may maintain a high level of followers’ work engagement during crises if they adopt an engaging leadership style.

The study investigated for the first time the role of meeting the psychological needs of health-care workers by leaders during a health-care crisis.

In today’s volatile global marketplace, cultivating human capital via efficient leadership has become an indispensable requisite for organizational growth. This study aims to examine how servant leadership affects employee creativity through employee empowerment. Moreover, this study examines the moderating effect of knowledge sharing in the relationship between employee empowerment and employee creativity.

Quantitative data were processed using Smart PLS-SEM to test the hypothesis. Survey data for this study were obtained from 368 employees working in two Islamic holy sites: the Masjid al-Haram and the Masjid an-Nabawi.

A positive correlation is found between employee empowerment and employee creativity. In addition, employee empowerment mediates the relationship between servant leadership and employee creativity. Lastly, knowledge sharing moderates the effect of employee empowerment on employee creativity.

The findings shed light on the need for servant leadership in service sector organizations. The findings imply that employee creativity in religious firms can be promoted by servant leadership. The results of this study can assist managers in developing a deeper understanding of contextual factors such as employee empowerment and knowledge sharing while formulating policies and development plans.

The impact of servant leadership in fostering creativity within religious organizations has not been investigated sufficiently. This study expands the literature by offering a thorough understanding of the contextual factors influencing employee creativity in religious organizations such as the mediating role of employee empowerment and the moderating role of knowledge sharing.

Advertisements facilitate certain emotions, subsequently influencing purchase intentions. Humor, as an influential way of information expression, is frequently used in ads to elicit emotions. Drawing upon literature on advertisement humor and new product purchase intention and the theory of planned behavior, the study proposes that humor stimulation in advertisements can affect consumers' new product purchase intentions, in which two process mechanisms, namely, emotional arousal and cognitive flexibility, play a mediating effect.

To test the assertions, the authors conduct three experimental studies. The authors' first study assesses the main effect between advertisement humor and purchase intentions. In the second study, the authors show the mediating effects of emotional pleasure, emotional arousal, and cognitive flexibility on the relationship between advertisement humor and purchase intentions. In the first two experiments, the authors study incremental new products. In the third study, the authors study the same mediating relationships for radically new products.

This study's results show consumers that watch humorous ads are more likely to choose new products than those who watch non-humorous ads (Study 1); compared with non-humorous ads, humorous ads can enhance emotional arousal, thus promoting cognitive flexibility and making consumers more inclined to choose new products (Study 2 and Study 3). That said, the authors find that these mediation effects are only partial.

This study's results have important implications for firms vying to enhance consumers' new product purchase intentions by deploying humorous ads.