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The paper seeks to assist public sector leaders to take a balanced and impactful approach to transformation programmes which aim to deliver integrated healthcare. The paper highlights the balance of attention paid in these programmes across elements of leadership, strategy, structure and people, and aims to highlight where this balance can sit to encourage more successful and sustainable transformations, with an increased focus on interpersonal and inter-professional engagement and interaction across workforce and service users.

The project involved a literature review which identified themes that were in turn used to inform an approach to a desk review of journal articles written about past integration programmes in healthcare. A coding framework was developed to assess the articles in the desk review to identify where the focus of attention lay in the approaches to integration.

There is a spread of activity across all four themes (leadership, strategy, structure and people) in the assessed cases, but the emphasis tends to be towards static, short-term approaches, with a noticeable lack of focus on the aspects required to deliver long-term sustained transformation. There is a need for improved balance between structural and relational approaches to transformation.

The paper focuses on nine examples of transformation programmes and would benefit from further development and use of the coding framework.

The framework that emerges from this project can contribute to the development of a proactive model to assist transformation leads and decision makers bring a more balanced, thoughtful and impactful approach to integrating health and care services. In particular, the findings point to an overuse of structural approaches to change and transformation, which could include project management methods, for example, which become the product of the initiatives, rather than enablers of leaders’ visions and people’s interpersonal and interprofessional engagement and interactions.

Building on existing research, this paper makes a valuable contribution to the discourse on how to deliver the required health and care integration agenda in a more accessible way and sustainably, moving away from short-term, quick-fix approaches and considers how to accommodate the role of interpersonal interaction as the vehicle for change.

This study seeks to review the existing literature on the challenges and issues of climate change and sustainability in the South Asian region.

The study adopts the systematic literature review using the guidelines of Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The sample consists of 39 studies highly relevant to the topic.

Population, urbanisation, poverty, inequality and health impacts were identified as socio-economic challenges. In contrast, deforestation and land degradation, water scarcity and quality, and biodiversity loss were identified as environmental challenges in mitigating climate change while achieving sustainability. Nonetheless, national, regional and international sustainability endeavours are still limited in their functionality and applications due to socio-economic inequalities, political problems and weak cohesiveness in the region.

The conclusions call for immediate concern to effective and concerted strategies and policies to address climate vulnerability and improve climate brilliant resilience in South Asia. Policymakers, practitioners and all those concerned with these phenomena are encouraged to utilise integrated strategies that focus on preventing and managing change, using technological innovations and promoting regional and international cooperation.

To the authors' knowledge, the current study differs from prior works because it employs a comprehensive systematic review to capture diverse literature on climate change issues and sustainable development endeavours within South Asia.

Brands are seizing their latitude in the metaverse – this study conceptualizes a digital doppelgänger as the sense of embodiment of the physical person and unpacks their effect on consumer brand engagement by examining the mediating role of digital doppelgänger’s brand interactions.

Data was collected through an online self-administered questionnaire employing criterion-based judgment sampling, resulting in 475 qualified responses. The data was validated through a two-step SEM (structural equation modeling) application of Hayes’s Process in the SmartPLS4 package. The IMPA analysis technique identified the most important and influential factor driving brand performance in the metaverse.

The study reveals that digital doppelgänger’s brand interactions mediate the relationship between the digital doppelgänger (embodiment of the person) and consumer brand engagement. Brand interaction manifests enjoyment, relaxation and reputation felt by the physical person. The result indicates that digital doppelgänger’s brand interaction drives brand performance in the metaverse.

Our study is an original attempt to conceptualize a digital doppelgänger as the sense of embodiment of the physical person and their brand interactions in the metaverse influence consumer brand engagement to produce enjoyment, relaxation and reputation – this is a novel contribution to interactive marketing literature.

It evaluated the seismic vulnerability based on fewer factors by presenting the effectiveness of seismic and structural parameters. The proposed method first demonstrated the effect of earthquake ground motion inputs on predicting the slight, moderate, extensive and collapse limit states and confirmed the method’s efficiency. The fragility curves illustrated with the approach of the present study are compared with the traditional techniques, such as analytical methods.

Based on the different macro- and micro-structural characteristics and the earthquake records, achieving a certain relation from regression analysis using artificial neural networks (ANNs) is difficult. With this background in mind, the present study aimed to compare the proposed model of the considered bridge with the analytical and ANN results. After statistical analysis and estimation of the most effective factors in predicting responses from the proposed approach, two-parameter two- and three-dimensional fragility curves are extracted.

Due to the structural differences between horizontally curved bridges, the methodology does not require any classification of bridge classes to predict responses. For a specific L/R of the bridge, the parameters cumulative absolute velocity (CAV) and Sa (T1) can provide a good estimate of the seismic fragility curves, and the proposed approach with less parameter assignment also leads to good results. With less computational effort, fragility curves can be illustrated.

The proposed method demonstrated the ability to accurately estimate the occurrence and non-occurrence limit states while maintaining a low computational cost and the derivation of a curved bridge’s seismic fragility curve.

The purpose of this study is to evaluate and address the energy efficiency prevalent within the Comprehensive and Progressive Agreement for Trans-Pacific Partnership (CPTPP) countries, a diverse group that constitutes a significant portion of the global gross domestic product. By assessing energy efficiency, the study aims to inform strategies that foster sustainable economic growth and environmental sustainability within these nations.

This research uses a three-stage slacks-based measure data envelopment analysis (SBM-DEA) model, enhanced by stochastic frontier analysis (SFA), to assess the energy efficiency of CPTPP countries over the period from 2000 to 2015. The three-stage SBM-DEA model allows for a comprehensive analysis by first measuring energy efficiency, then adjusting for external environmental factors and statistical noise through SFA, and finally, reevaluating efficiency with adjusted inputs.

The analysis reveals significant disparities in energy efficiency among CPTPP nations, identifying both high-performing countries and those needing considerable improvements. Developed countries within the CPTPP generally exhibit higher energy efficiency levels, which can be attributed to their adoption of advanced technologies and strong policy frameworks. In contrast, developing nations demonstrate greater vulnerability to external environmental factors affecting their energy efficiency.

The research fills a gap in the literature by providing a nuanced and comprehensive evaluation of energy efficiency across a significant and economically diverse group of nations, offering valuable insights for sustainable development within the CPTPP framework.

The purpose of this paper is to investigate the influence of the external environment on the strategic thinking dimensions in Malaysia and Palestine on the banking sector.

This paper focuses on dynamism and complexity in political and economic external environments. This study uses qualitative methodology through a comparative case study method. Purposive sampling was used to collect data from in-depth semistructured interviews with 33 bank executives from Malaysia and 17 from Palestine.

The findings revealed that the banking sector in both Malaysia and Palestine shared five common strategic thinking dimensions, including vision, creativity, conceptual thinking, futurism and opportunity. However, a sixth dimension, intent-focused, was unique to Palestinian bank executives. This study indicates that Palestine’s financial strategic thinking environment is more dynamic and complex than Malaysia’s. Additionally, the study highlights the significant influence of both microenvironments (such as types of banks) and the macroenvironment (such as political and economic situations). These findings hold important implications for decision-makers in the banking sector of both countries.

As with many studies, this study has some limitations. First, the analysis examines only the turbulent and stable environment in the two countries by using a qualitative approach which enables the analysis of thoughts and actions and exposes the beliefs, perceptions, mental maps and structures of belief in their perceptions (Cavana et al., 2001). As such, the results are limited to a particular time, date and geographical location; thus, opinions and perceptions might be altered due to changes in the external political and economic environment. The second limitation of this work is that the case study might not be appropriate for generalization (Stake, 1978). Finally, the limited number of female participants in Palestine shows a high level of inequality compared to Malaysian participants.

This study explores the implication of uncertain environments at the national level on executives’ cognition and actions, links the micro- and macro-environment of the banking industry to a theoretical perspective and develops a conceptual circular model to show the effect of macro environments on bank performance. The findings offer practical contributions to the current literature, providing insights for executives to navigate a dynamic and complex banking industry.

This study fills the literature gap by exploring how strategic thinking dimensions triggered by macro- and micro-environments impact banking sector performance in Malaysia and Palestine.

Delay in housing adaptation is a major problem, especially in assessing if homes are suitable for the occupants and in determining if the occupants are qualified for the Disabled Facilities Grant (DFG). This paper describes the development of two self-administered intelligent integrated assessment tools from the DFG Adapt-ABLE system: (1) The Home Suitability Assessment Platform, which is a preventive mechanism that allows assessment of the suitability of homes based on occupants’ mobility status and (2) an indicative assessment platform that determines if the applicants are qualified for the DFG to prevent lengthy delays.

The adopted method aligned with a development study approach: a grounded literature review, a severity measurement approach, two stakeholder engagement workshops, four brainstorming sessions and four focus group exercises. The system development relied on Entity–Relationship Diagram (ERD) technique for data structures and database systems design. It uses DFG context sensitivity with alignment with DFG guidance, interlinkages and interoperability between the assessment tools and other platforms of the integrated Adapt-ABLE system.

The assessment tools are client-level outcomes related to accessibility, usability and activity based on the assessment process. The home suitability platform shows the percentage of the suitability of a home with assessment results that suggest appropriate action plans based on individual mobility status. The indicative assessment combines the function of referral, allocation, assessment and test of resources into an integrated platform. This enables timely assessment, decision-making and case-escalation by Occupational Therapists based on needs criteria and the eligibility threshold.

These assessment tools are useful for understanding occupants’ perception of their physical housing environment in terms of accessibility, suitability and usability based on basic activities of daily living and their mobility status. The indicative self-assessment tool will substantially cut down the application journey. The developed tools have been recommended for use in the CSJ Disability Commission report and the UK government Guidance on DFGs for local authorities in England.