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Publication Open Access Accelerometer-measured physical activity among children and adolescents with and without neurodevelopmental disorders: A systematic review and meta-analysis(Elsevier, 2026-02-01)Purpose: Physical inactivity is a health concern for children and adolescents with neurodevelopmental disorders (NDDs) as it directly increases their risk of developing various health problems. Evidence on differences in accelerometer-assessed physical activity between children and adolescents with and without NDDs is inconclusive. And age- and body mass index (BMI)- related effects on physical activity remain unclear. Methods: The systematic literature searches were performed in 6 databases up to March 2025. Methodological quality was evaluated by the Newcastle–Ottawa Scales. Data were pooled using a random-effects model. Hedges’ g was used to express the effect size index with 95 % confidence interval (CI). Meta-regression on age and BMI was also performed to investigate the potential moderating effects. Results: Out of the 2167 studies initially identified, 28 were included in the analysis, which comprised total physical activity (TPA), moderate-to-vigorous physical activity (MVPA), and light physical activity (LPA) included in the meta-analysis, respectively. These studies involved 1060 children and adolescents with NDDs and 1820 without, aged 6.6–16.9 years. A small-to-moderate effect size exists for the difference in TPA (g=-0.299) and MVPA (g=-0.479) between children and adolescents with and without NDD, particularly indicating a difference in 12.7 min of MVPA daily. The difference in LPA was not significant (g=0.450, p = 0.125). The decline in MVPA with age was more pronounced in those with NDDs, and the difference in MVPA was smaller for those with lower BMI. Conclusion: The variation in MVPA differences by age and BMI highlights the need to develop better physical activity habits and reduce these disparities for children and adolescents with NDDs.Publication Open Access Partners’ influences on women’s experiences of living with and managing gestational diabetes mellitus: a qualitative evidence synthesis(Routledge Taylor & Francis Group, 2026-02-04)Living with and managing Gestational Diabetes Mellitus (GDM) can be a significant burden for women. Previous research suggests that family support, particularly from partners, can substantially influence women’s experiences of GDM. This review synthesised qualitative research examining the influence of partner support on women’s experiences of living with and managing GDM. A systematic search was conducted across MEDLINE, EMBASE, PsycINFO, CINAHL, Cochrane, and ProQuest. Sixty-two articles were included, and themes were developed using Thomas and Harden’s (2008) thematic synthesis approach. Confidence in the findings was assessed using the GRADE-CERQual approach. Three key themes were generated: (1) the spectrum of dyadic experiences in GDM, highlighting varying forms of partner support, including practical, emotional, and indirect support; (2) aligning partner support with women’s needs, emphasising the importance of matching support with individual preferences; and (3) partner support is experienced within dyads, families, and cultural contexts, demonstrating how cultural norms shape partner involvement. Supportive partners positively influenced coping and management, while overbearing or inadequate support increased burden. Cultural expectations around support affected how support was perceived and provided. Most findings were rated as moderate confidence. Healthcare strategies could focus on education, open communication, and culturally tailored support to optimise partner involvement.Publication Open Access “It’s an Uncomfortable subject”—a qualitative exploration of the challenges and potential solutions to depression screening in low back pain(Oxford University Press, 2026-01-07)Importance: Comorbid depression in people with low back pain(LBP)is associated with poorer prognosis. Objective: The objective was to understand the challenges faced by musculoskeletal (MSK) triage physical therapists when screening for depression in LBP populations ,and to generate action able recommendations for over coming these challenges. Design: This study adopted a pragmatic hybrid descriptive qualitative approach, integrating element of ethnography and action research. Setting: Interviews were conducted in the Republic of Ireland and used purposive sampling of physical therapists working in MSK triage roles. Participants: To be included, participants were required to have managed at least 1 person with LBP each week in the 3 months prior to recruitment. Intervention(s) or Exposure(s): The context explored was MSK triage physical therapists’ experience with depression screening in people with LBP. Main Outcomes and Measure(s): The main outcomes were insights regarding challenges and potential solutions to depression screening. Semi-structured interviews were employed, with data analysis following a Reflexive Thematic Analysis framework. Results: Fourteen MSK triage physical therapists participated. Challenges were organized into 3 themes: capacity (personal, professional, and system), culture (clinic, societal), and circuitous communication. Potential solutions were organized into 5 themes: training and education, standardized pathways, knowledge of and access to resources ,screening tools ,and normalizing depression screening in MSK triage equivalent to red flags screening.Publication Open Access Co-creating the COMMUNICATE toolkit to support the communication of physical activity messages with adolescents in schools(BMC, 2025-11-11)Background Communication campaigns within multi-component school-based interventions could improve knowledge and awareness about physical activity (PA) behavior. Guidance to implement such communication campaigns is lacking. This paper presents the co-creation and evaluation processes that led to the development of the COMMUNICATE toolkit, which supports implementers to communicate PA messages. Methods Students and teachers from secondary schools enrolled in the Active School Flag (ASF) program were invited to participate. To provide a nuanced perspective on the communication of PA, ASF program implementers (i.e., coordinating teacher and adolescent peer leaders) and receivers (i.e., staff and students not involved in ASF delivery), together known as co creators, engaged in three rounds of co-creation workshops to share ideas, provide feedback, and refine the toolkit. Workshop data were collected via activity recording sheets; written raw materials were photographed and later transcribed verbatim to generate a dataset. Inductive thematic analysis was conducted to organize and describe the toolkit components. A multi-stakeholder research steering group (n=7) was established to design, facilitate, and evaluate the co-creation process. The toolkit was refined between rounds of workshops. Throughout the co-creation process, the facilitator reflected after each workshop to improve its’ participatory nature. After the final workshop, co-creators completed a process evaluation questionnaire. Additional consultations with experts were held to bridge the gap in expertise. A logic model was developed to understand the theory of change behind the toolkit. Results Eight teachers and 38 students from four ASF schools participated in the co-creation workshops. All 14 aspects of the process evaluation were mainly positive (86.7-100%). Common reasons for negative responses included co-creators not engaging, too much moving around during workshops, teachers’ involvement, and working with strangers. The final version of the toolkit included resources for program implementers to i) raise awareness about PA and the program, ii) plan the promotion of PA, and iii) develop key communication skills. Conclusions The COMMUNICATE toolkit, informed by multi-stakeholder voices, emphasizes a multi-level, multistakeholder approach to communicating PA messages with adolescents in schools. It provides tools and resourcesPublication Open Access Intangible capital, digitalisation and scale: Evidence and interactions in firm-level production and competition dynamics(Elsevier, 2026-04-01)This paper investigates the role of intangible capital in transforming production dynamics, firm performance, and competition. Using firm-level data and a refined Cobb-Douglas production function framework, we compute output elasticities for inputs across seven business cycles, 1970–2019. Estimates reveal a consistent rise in the output elasticity of intangible capital, surpassing physical capital in the most recent cycle, and a corresponding decline in the variable input elasticity. Trends are pronounced in digital-intensive and service sectors. We explore how digitalisation interacts with intangible investment and contributes to firm growth, profitability, and scale advantages. Results show that intangible capital has a significantly greater marginal impact on profitability for top-performing firms, with one component of intangibles, i.e. organisational capital, emerging as the primary driver of this effect. Larger firms exhibit lower overhead input shares and higher EBIT margins, suggesting economies of scale linked primarily to organisational capital. Results indicate that intangible assets are increasingly non-rival and scalable, reinforcing performance premia of sector/industry leaders. We extend the literature on intangible-biased technological change by identifying mechanisms through which digitalisation and intangible investment reshape firm-level and sector-level dynamics. Findings have implications for competition policy, innovation strategy, and the design of productivity-enhancing interventions in an increasingly intangible-driven economy.
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