Tuesday, February 27, 2024

 

What motivates high-quality medical care: Is it all about money?


Peer-Reviewed Publication

UNIVERSITY OF COLOGNE





In many economics sectors, financial incentives are considered an effective means of motivating both employees and managers to deliver top performance. Incentives – and their counterpart, financial disincentives, in particular – are a recurring topic in debates about healthcare reform in Germany and other countries. So far, however, there is little scientific evidence that bonuses for high-quality medical treatment also result in better health outcomes for patients.

The study ‘A new look at physicians’ responses to financial incentives: Quality of care, practice characteristics, and motivations’, published in the Journal of Health Economics and conducted by Professor Dr Daniel Wiesen and colleagues from different German universities, investigated the effects of quality-based incentives on physician behaviour. The data show that quality-based bonuses can increase the quality of medical care. The level of the financial incentives does not have a significant impact, however.

The study focused on primary healthcare, i.e., primary-care residential outpatient practices in Germany. The researchers linked three different data sets: (1) An anonymised behavioural economic experiment using a controlled variation of incentives elicited treatment decisions of about one hundred general practitioners in a stylised practice-like setting. (2) The Zi-Praxis-Panel (ZiPP) of the Zentralinstitut für die kassenärztliche Versorgung – an annual representative panel regarding business management data conducted with more than 6,000 practicing physicians contracting with the Statutory Health Insurance in Germany – provided anonymised data on the annual net income of the participating practice owners. (3) A survey conducted by the authors of the study gave further insights into the attitudes and motivations of the doctors.

The results of the behavioural experiment show that performance-based remuneration increases the quality of medical treatment compared to capitation payment for each patient. This effect increases in the severity of the illness. Furthermore, the authors find no positive correlation between higher annual net income of practice owners (in reality) and better medical care (in the experiment) – the opposite appears to be the case. Last but not least, the study showed that personal attitudes and motivations of general practitioners play an important role for the quality of care: Doctors stating the best treatment for their patients to be their primary decision motive provide better service quality than physicians additionally motivated by their annual net income.

Wiesen concluded: “Irrespective of which level of quality-based remuneration is appropriate or fair, the quality of healthcare depends to a large extent on the altruistic motivation of doctors towards their patients. This is, however, only one behavioural channel. Further controlled behavioural experimental research is needed to better understand the interplay between incentives, individual characteristics and physician behaviour.“

 

Maths: Smart learning software helps children during lockdowns - and beyond


Peer-Reviewed Publication

MARTIN-LUTHER-UNIVERSITÄT HALLE-WITTENBERG





Intelligent tutoring systems for math problems helped pupils remain or even increase their performance during the Corona pandemic. This is the conclusion of a new study led by the Martin Luther University Halle-Wittenberg (MLU) and Loughborough University in the UK. As part of their work, the researchers analysed data from five million exercises done by around 2,700 pupils in Germany over a period of five years. The study found that particularly lower-performing children benefit if they use the software regularly. The paper was published in the journal "Computers and Education Open".

Intelligent tutoring systems are digital learning platforms that children can use to complete maths problems. "The advantage of those rapid learning aids is that pupils receive immediate feedback after they submit their solution. If a solution is incorrect, the system will provide further information about the pupil’s mistake. If certain errors are repeated, the system recognises a deficit and provides further problem sets that address the issue," explains Assistant Professor Dr Markus Spitzer, a psychologist at MLU. Teachers could also use the software to discover possible knowledge gaps in their classes and adapt their lessons accordingly. 

For the new study, Spitzer and his colleague Professor Korbinian Moeller from Loughborough University used data from "Bettermarks", a large commercial provider of such tutoring systems in Germany. The team analysed the performance of pupils before, during and after the first two coronavirus lockdowns. Their analysis included data from around 2,700 children who solved more than five million problems. The data was collected between January 2017 and the end of May 2021. "This longer timeframe allowed us to observe the pupils’ performance trajectories over several years and analyse them in a wider context," says Spitzer. 

The students’ performance was shown to remain constant throughout the period. "The fact that their performance didn’t drop during the lockdowns is a win in and of itself. But our analysis also shows that lower-performing children even managed to narrow the gap between themselves and higher achieving pupils," Spitzer concludes. 

According to the psychologist, intelligent tutoring systems are a useful addition to conventional maths lessons. "The use of tutoring systems varies greatly from state to state. However, our study suggests that their use should be expanded across the board," explains Spitzer. The systems could also help during future school closures, for example in the event of extreme weather conditions, transport strikes or similar events. 

 

Study: Spitzer M. W. H. & Moeller K. Performance increases in mathematics within an intelligent tutoring system during COVID-19 related school closures: a large-scale longitudinal evaluation. Computer and Education Open (2024). doi: 10.1016/j.caeo.2024.100162

 

Live video streaming from trauma incidents to emergency medical services is easy for members of the public to use and is feasible to evaluate – a new study finds


Peer-Reviewed Publication

UNIVERSITY OF SURREY




Innovative technology enabling ambulance service dispatchers to view footage from the scene of trauma incidents via video live streaming from mobile phones is feasible to implement and evaluate, a new study led by the University of Surrey and funded by the National Institute for Health and Care Research, reveals.

Such technology, used via 999 callers’ smartphones, could aid emergency medical services’ decision-making about how many and what type of emergency medical personnel and vehicles to send to major trauma incidents. 

Building on their previous work evaluating the use of GoodSAM Instant-On-Scene technology, Surrey researchers, in collaboration with Air Ambulance Charity Kent, Surrey and Sussex (KSS), London Ambulance Service (LAS) and South East Coast Ambulance Service (SECAmb), conducted the first randomised controlled trial in the world to evaluate the feasibility of implementing and evaluating the technology in this emergency setting and whether its use would be acceptable to members of the public.

Professor Cath Taylor, Professor of Healthcare Workforce, Organisation and Wellbeing at the University of Surreys School of Health Services, said:

Most ambulance services in the UK rely on callers to verbally relay accurate information about the condition of patients and what has happened at the scene. Often, due to their lack of medical knowledge and the shock of what they have witnessed, the information they provide may be unintentionally inaccurate.

Not having correct information makes it difficult for emergency medical services to determine how many and what types of medical personnel and vehicles should be sent to the scene. Using GoodSAM could help us overcome this. However, we need to understand the practicalities of implementing and evaluating such technology within emergency services.”

Researchers trialled the technology over six weeks between June and November 2022. They randomised the working shifts of those responsible for dispatching enhanced care resources (such as the air ambulance) to either use live video streaming or not.  A total of 62 working shifts were randomised, and 240 trauma incidents were included throughout the trial. All 999 callers during intervention periods spoke to emergency call handlers as normal, who then transferred the call to enhanced care dispatchers who asked the callers permission to use live streaming and assessed if GoodSAM technology was safe to be used.

Out of the incidents that occurred during intervention working shifts, 72 were confirmed as eligible to use GoodSAM; of those, 86 per cent of the callers were willing and able to use the technology. This resulted in the footage being viewed in 85 per cent of these calls. Though the study was not designed to evaluate the impact on decision-making, livestreaming directly led to changes to dispatch decisions, including the KSS air ambulance being stood down in two instances, saving money and enabling them to be redeployed elsewhere.

Professor Richard Lyon MBE, Professor of Pre-Hospital Emergency Care at the University of Surrey and Director of Research and Innovation at Air Ambulance Charity Kent, Surrey, Sussex, said:

"Giving dispatchers eyes on the ground could be game-changing in helping them dispatch the appropriate response to major trauma incidents. Air ambulance services are important, scarce and expensive resources that must be tasked accurately to those patients who need them most.

What we have found is live video streaming from 999 callers is feasible to implement, acceptable, and easy to use for both callers and dispatchers. More research is needed to understand the impact that live streaming has on dispatch decisions, and whether it can improve the speed and accuracy of ambulance dispatch. We also found it challenging to recruit 999 callers to the study and need to work with members of the public to overcome this challenge for future research, as their insight is invaluable.”

Professor Julia Williams, a paramedic and Head of Research for the South East Ambulance Service NHS Foundation Trust reported:

“This study is really important for patients to ensure they get the most appropriate emergency response in the quickest time possible. There are many ways that we can use this type of technology to improve the emergency healthcare services that we provide to our population and this approach has shown great promise in our research study.

“It is vital that our developing services are based on evidence and research findings. This research is a great example of different organisations working together for our patients’ benefit and, at the same time, it gave us an opportunity to make sure that our staff could effectively use this technology with no harm to them or the callers.”

This study was published in the Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine

 

Advancing climate change research and policy demands knowledge from Indigenous Peoples and local communities, new study reveals

Peer-Reviewed Publication

UNIVERSITAT AUTONOMA DE BARCELONA





As you read this, many regions of the world are implementing crisis plans against drought, while, simultaneously, torrential rains wreak havoc in other corners of the planet, submerging cities and crops under the forces of wild waters. Would we all agree that we should be doing our best to improve our understanding of climate change impacts and design policies to address them? If so, involving Indigenous Peoples and local communities is crucial, and if done properly, the results will be valuable for society at large.

This is a key finding of a large locally relevant and globally coordinated study by the Institute of Environmental Science and Technology of the Universitat Autònoma de Barcelona (ICTA-UAB) that includes 48 Indigenous Peoples and local communities across all climate zones on all inhabited continents. The project "Local Indicators of Climate Change Impacts" (LICCI), led by Victoria Reyes-García, ICREA Research Professor at ICTA-UAB, has been funded by the European Research Council (ERC) and conducted in collaboration with numerous local organisations, ranging from universities and governmental institutions to the civil society. Results from this work were recently published in the journal Communications Earth & Environment.

"The impacts of climate change are enormous, numerous, and different across communities, which makes the design of adaptation strategies challenging. We acknowledge this. And yet the LICCI project has demonstrated that Indigenous and local knowledge brings new evidence that can inform climate change interventions that are also fair and effective," says Victoria Reyes-García, LICCI principal investigator. 

Climate change is a global phenomenon with complex and convoluted causes and effects requiring international collaboration at all levels. However, the variability of climate change impacts is such that local interventions to mitigate them are not always effective. Moreover, the complexity of aggregated drivers of change, such as local conflicts, large infrastructure planning, or tourism, to name a few, can distort our comprehension of climate change drivers and impacts. Importantly, climate change impacts are perceived differently by communities whose livelihoods diverge from the economic activities of the world's major economies and who embody distinctive cultural views and understandings of the world. As a result, food sovereignty, economic security, and cultural identity are at stake in many parts of the world.

For this reason, scientists and policymakers have been seeking ways to include the needs of Indigenous Peoples and local communities in their studies and intervention programs for many years now, with international initiatives such as the Local Communities and Indigenous Peoples Platform (LCIPP) of the United Nations Framework Convention on Climate Change (UNFCCC). Unfortunately, more often than not, these communities were overlooked from the very beginning to the implementation stage. One reason, though not the only one, was the challenge of integrating globally applicable and reproducible measurements—critical for informing intricate climate models—with data that are often sparse and less comparable from remote areas worldwide. This challenge is particularly pronounced in regions where communities heavily rely on nature, making them more vulnerable to the impacts of climate change.

And this is the problem the project LICCI–Local Indicators of Climate Change Impacts–set out to address. Through a collaborative effort involving 81 researchers from 65 institutions, the LICCI team developed and tested a site-specific yet cross-culturally comparable protocol. This innovative approach aimed to systematically document climate change impacts as perceived by the inhabitants of the targeted regions. The project engaged over 5,000 individuals across 48 diverse cultures and nationalities, representing 179 communities in 37 countries. While not every community could be consulted, the analysis of 1,661 reported impacts, organized in 369 indicators, underscores the value of broad inclusion. If widely adopted, the LICCI protocols hold the potential to provide a comprehensive global perspective, facilitating the integration of Indigenous Peoples and local communities and their knowledge into the broader landscape of international climate change research and policy.

Indeed, the study consistently underlines that Indigenous Peoples and local communities share a profound awareness of the persistent, palpable, and far-reaching impacts of climate change. Remarkably, they are able to discern and see simultaneous impact of these effects and those instigated by other transformative forces in their communities–ranging from the construction of roads and shifts in national and international land-use regulations to alterations in access to common goods and services. In numerous instances, these communities have demonstrated resilience by proactively responding to such impacts: they have strategically adjusted their socio-economic and cultural activities, aiming to mitigate the repercussions on both the environment and their way of life. But, in other cases, there is not much to be done at the local scale and people feel powerless and overwhelmed.

Comparable to many other research protocols, communities participating in the LICCI project frequently report shifts in average or seasonal temperatures, as well as changes in crop productivity and the abundance of wild plants—these being the most common observations. However, what sets LICCI apart is its nuanced indicator system, enabling the association of changes in mean temperature or crop productivity with diverse observations and explanations across different locations. This ranges from a dry wind emanating from the Sahara affecting Ghana to a reduction in precipitation impacting Chile when accounting for temperature. Similarly, it includes condensation cycles shortening in Senegal and pest infestations in Romania when assessing crop productivity.

How can Indigenous Peoples’ and local communities’ knowledge influence climate change research and policy?

In Spain and around the world, the LICCI project has demonstrated that changes in the way local communities interact with the environment serve as crucial indicators of the climate changes they observe. Considering the complex and in-depth knowledge they have proven to have, along with their capacity to adapt to climate change and mitigate its impacts on their communities, the LICCI Consortium has distilled their learnings into three important recommendations for both researchers and policymakers:

– Engaging with Indigenous Peoples and local communities broadens, enriches and deepens our understanding of climate change and its impacts at the local level. This understanding can be utilized to enhance locally relevant adaptation plans and interventions.

– In the context of global negotiations for climate justice, the LICCI project provides a methodology to measure and compare climate change impacts worldwide, which can also inform appropriate compensatory measures.

– Protecting Indigenous and local knowledge and cultural systems involves supporting their capacity to adapt to ongoing impacts and enabling them to contribute to global mitigation efforts.

 

The LICCI communities in Spain

The LICCI project has studied three regions in Spain–Cabrales in Asturias, Sierra Nevada in Andalucia, and the Cap de Creus region in the Costa Brava. These regions, chosen for their unique orographic conditions and diverse ecological settings, provide compelling examples of how local communities adapt to and deeply understand the nuanced impacts of climate change.

In the towns of Arenas, Arangas, and Asiego in the Cabrales municipality, researchers have documented the impacts of climate change in home gardens, which are crucial for food independence. Local peoples describe the unsettling blurring of seasons, with changes in rainfall and temperature as well as extreme weather events that have altered irrigation practices and harvesting schedules, contributing to an increase in crop diseases. To counter these challenges, residents are constructing greenhouses and water tanks, and intensifying the use of fungicides.

In Sierra Nevada, a European biodiversity hotspot housing the Sierra Nevada Global Change Observatory, men and women reported similar climate change impacts.  Notably, those with higher education, who are the least likely to work in the primary sector, show the least awareness of these impacts. This underscores the significance of local knowledge about the terrain and ecosystem for understanding the complexities of climate change.

In the Costa Brava, LICCI experts have worked with artisanal fishermen and documented their advanced knowledge of the environment. Local fishermen relate changes in storms and wind to changes in the population of various marine species that ultimately affect their livelihoods. In fact, the complex ecological knowledge they possess allows them to identify impacts of climate change that have not been thoroughly examined in scientific literature, such as effects on the behavior of marine animals, or on food chains, and even synthetic pollution.

 

 

Research adds to knowledge about heart disease and stroke in women of all ages


Journal of the American Heart Association’s 2024 Go Red for Women® issue highlights new findings and progress in research on women and cardiovascular disease


Peer-Reviewed Publication

AMERICAN HEART ASSOCIATION




Research Highlights:

  • Women’s heart disease and stroke risks and outcomes differ throughout life in comparison to men.
  • A special Journal of the American Heart Association “spotlight” issue features a collection of the latest research about sex differences in cardiovascular disease and their implications for gender-specific care.
  • Among the topics in this issue: the impact of sedentary behavior on heart disease risk in older women; sex differences in the relationship between schizophrenia and the development of heart disease; and maternal dietary patterns and risk of preeclampsia.

Embargoed until 4 a.m. CT/5 a.m. ET Feb. 27, 2024

DALLAS, Feb. 27, 2024 — Women’s cardiovascular disease risks and outcomes differ throughout the lifespan from those of men, according to a collection of studies devoted to cardiovascular medicine research focused on women of all ages, published today in a special “spotlight” issue of the Journal of the American Heart Association, an open access, peer-reviewed journal of the American Heart Association.

Cardiovascular disease kills more women than all forms of cancer combined. Among females 20 years and older, nearly 45% are living with some form of cardiovascular disease, and less than 50% of women entering pregnancy in the U.S. have good heart health. In addition, more than half of deaths from high blood pressure are in women. Yet, women make up only 38% of participants in cardiovascular disease clinical trials, according to the American Heart Association.

The special Go Red for Women issue of the Journal, in recognition of American Heart Month, features studies that reveal insights such as: how diet may affect the high preeclampsia risk in pregnant Hispanic/Latina women; how women were less likely than men to receive bystander CPR and automated external defibrillator (AED) treatment, as well as survive the first 30 days post-hospitalization after out-of-hospital cardiac arrest; and how rehospitalization rates differ in women with heart failure and obstructive sleep apnea. In yet another study featured, researchers report that while the incidence of intracerebral hemorrhage (bleeding within the brain), the second most common stroke type, was lower in women, women were more likely to die one year after a stroke than men.

Below are highlights of some of the manuscripts in this issue,

  • Prospective Associations of Accelerometer-measured Machine-learned Sedentary Behavior with Mortality among Older Women: The OPACH Study

Steve Nguyen, Ph.D., et al.; University of California, San Diego, La Jolla, California

This team studied sedentary behavior patterns in nearly 6,000 older women (average age 79 years) to determine the impact of sitting time on death from cardiovascular disease and all causes. Using a measurement tool powered by machine learning to accurately classify sitting time, researchers found those who sat more than 11.6 total hours a day and had longer bouts of uninterrupted sitting had a 57% higher risk of death from all causes and a 78% increased risk of death from cardiovascular disease. This was compared to women who sat less than 9.3 hours a day. The increased risk of death was consistent regardless of age, body mass index, physical functioning, cardiovascular disease risk factors, physical activity intensity and race/ethnicity. Reducing overall sedentary behavior and uninterrupted sitting time would likely have large public health benefits in an aging society, according to researchers.

  • Sex Differences in the Relationship between Schizophrenia and the Development of Cardiovascular Disease

Hidehiro Kaneko, M.D., Ph.D., et al.; University of Tokyo, Tokyo, Japan

Researchers studied cardiovascular disease risk in people with schizophrenia, a serious psychotic disorder and one of the top 15 leading causes of disability worldwide. Schizophrenia results in severe, chronic mental illness characterized by disturbances in perception, thought and behavior. The study found a strong association between schizophrenia and risk of developing cardiovascular disease in adults, but particularly in women. This higher risk in women may be related to hormonal changes during pregnancy and menopause, or reports that women are more sedentary than men. Nevertheless, the findings point to the need for health care professionals to take a thorough and gender-focused approach to cardiovascular disease prevention due to the notable role schizophrenia seems to play in cardiovascular disease. The researchers suggest that it’s crucial to promote physical activity, especially among women with schizophrenia, as inactivity may have increased the risk in female participants in this study. Healthcare providers should routinely screen and treat schizophrenia as part of standard clinical practice, with special attention to women, authors wrote.

  • Maternal Dietary Patterns During Pregnancy Are Linked to Hypertensive Disorders of Pregnancy Among a Predominantly Low-Income US Hispanic/Latina Pregnancy Cohort

Luis E. Maldonado, Ph.D., M.P.H., et al.; Keck School of Medicine, University of Southern California

In a study of more than 400 predominantly low-income, pregnant Hispanic/Latina women in Los Angeles, researchers found that a diet characterized by higher intakes of solid fats, refined grains and cheese was strongly associated with greater odds of having had a hypertensive disorder of pregnancy including preeclampsia during pregnancy.

Other papers in the spotlight issue include:

  • Association of Sex With Cardiovascular Outcomes in Heart Failure Patients With Obstructive or Central Sleep Apnea — Jian Zhang, M.D., Ph.D., et al.; Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China
  • Pregnancy History at 40 Years of Age as a Marker of Cardiovascular Risk — Liv G. Kvalvik, M.D., Ph.D., et al.; University of Bergen, Bergen, Norway
  • Sex Differences in the Epidemiology of Intracerebral Hemorrhage Over 10 Years in a Population-Based Stroke Registry — Simona Sacco, M.D., et al.; University of L’Aquila, L’Aquila, Italy
  • Sex Differences in Revascularization, Treatment Goals, and Outcomes of Patients With Chronic Coronary Disease: Insights From the ISCHEMIA Trial — Harmony R. Reynolds, M.D., FAHA, et al.; NYU Grossman School of Medicine, New York City
  • Sex Differences in Receipt of Bystander CPR Considering Neighborhood Racial and Ethnic Composition — Audrey L. Blewer, Ph.D., M.P.H., et al.; Duke University, Durham, North Carolina
  • Hypertension in Pregnancy among Immigrant and Swedish Women – A Cohort Study of All Pregnant Women in Sweden — Axel C. Carlsson, Ph.D., et al.; Karolinska Institutet, Huddinge, Sweden
  • Sex Differences In Out-of-Hospital Cardiac Arrest Survival Trends — R. L. A. Smits, et al.; Amsterdam University Medical Center, Amsterdam, The Netherlands;
  • Posttraumatic Stress Disorder is Associated With Elevated Risk of Incident Stroke and Transient Ischemic Attack in Women Veterans — Ramin Ebrahimi, M.D., et al.; University of California, Los Angeles; Veterans Affairs Greater Los Angeles Healthcare System, Los Angeles; and
  • Sex differences in Outcomes of Acute Myocardial Injury After Stroke — Michela Rosso, M.D., et al.; University of Pennsylvania, Philadelphia.

Author disclosures and funding sources for all articles in the special issue are listed in the individual manuscripts.

Studies published in the American Heart Association’s scientific journals are peer-reviewed. The statements and conclusions in each manuscript are solely those of the study authors and do not necessarily reflect the Association’s policy or position. The Association makes no representation or guarantee as to their accuracy or reliability. The Association receives funding primarily from individuals; foundations and corporations (including pharmaceutical, device manufacturers and other companies) also make donations and fund specific Association programs and events. The Association has strict policies to prevent these relationships from influencing the science content. Revenues from pharmaceutical and biotech companies, device manufacturers and health insurance providers and the Association’s overall financial information are available here.

Additional Resources:

About the American Heart Association

The American Heart Association is a relentless force for a world of longer, healthier lives. We are dedicated to ensuring equitable health in all communities. Through collaboration with numerous organizations, and powered by millions of volunteers, we fund innovative research, advocate for the public’s health and share lifesaving resources. The Dallas-based organization has been a leading source of health information for a century. During 2024 - our Centennial year - we celebrate our rich 100-year history and accomplishments. As we forge ahead into our second century of bold discovery and impact, our vision is to advance health and hope for everyone, everywhere. Connect with us on heart.orgFacebookX (formerly known as Twitter) or by calling 1-800-AHA-USA1.

 

Unveiling the sustainability landscape in cultural organizations: A global benchmark


Peer-Reviewed Publication

UNIVERSITY OF LAUSANNE

How sustainable are cultural organizations? A global benchmark 

IMAGE: 

JULIE GRIESHABER AND MARTIN MÜLLER, THE AUTHORS OF THE STUDY

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CREDIT: UNIL




Are museums, theaters, and opera houses truly walking the talk when it comes to social and environmental sustainability? The University of Lausanne (UNIL) delved into this pressing question, conducting an international survey with over 200 major cultural organizations. The verdict? While there's significant room for improvement across the spectrum, Anglophone countries lead the charge.

Cultural organizations, with their wide-reaching influence and power to shape narratives and imaginations, are poised to be trailblazers in championing sustainability causes. Recognizing this pivotal role, researchers from UNIL's Department of Geography and Sustainability initiated a comprehensive international survey to assess progress in the realms of social and environmental sustainability.

This global benchmark survey was answered by 206 leading museums, theaters, and opera houses on every continent. Respondents answered questions on diverse criteria, ranging from the inclusiveness and well-being of employees (social aspects) to waste management, energy consumption, catering practices, and carbon impact (environmental considerations).

Published in Sustainability: Science, Practice and Policy, a leading global journal for sustainability, the results underscore a collective need for improvement, with 60% of respondents integrating sustainability into their strategies only in the last five years or less. On average, cultural organizations obtained only 37 out of 100 possible points in the sustainability score, doing better on social sustainability than on environmental sustainability. UNIL professor Martin Müller, spearheading the research, notes a gap between declarations and implementation.

Sustainability champions: a global strategy, a dedicated team and cross-functionality

However, amidst the challenges, the study unveils sustainability champions, 14 in all. A correlation emerges between social and environmental sustainability, emphasizing that those excelling in one area tend also to shine in the other. The top 14 cultural organizations features notable Anglophone organizations like the National Galleries of Scotland and the Sydney Opera House. The study guaranteed the anonymity of the participating institutions, so only the top performers who gave their explicit consent are mentioned. (see the results)

What sets the top-ranking organizations apart is their integration of sustainability into overall strategy and the establishment of dedicated internal groups, so-called green teams, that drive coordinated actions. National contexts and political decisions further influence these endeavors. In England, for instance, publicly funded organizations must report on sustainability, adding an extra layer of accountability, according to co-author Julie Grieshaber. “We’re incredibly proud”, says Anne Lyden, Director General of the National Galleries of Scotland, the most sustainable museum in the study. “We actively support Scotland's aim to reach net-zero before 2045, cutting our carbon footprint by 60% between 2008 and 2022”, she adds. “We understand how important it is to play our part in making a more sustainable future, not just for Scotland but the world.”

Louise Herron, CEO of the Sydney Opera House (first-ranked organization in the study), says: “Sustainability has been part of the Opera House’s DNA since the beginning and over recent years, we’ve been focused on bringing together our efforts to drive social and environmental change, embedding sustainability into our organizational strategy and making it part of everyone’s daily lives. These are urgent challenges that we’re facing, which can only be tackled through coordinated action and as cultural organizations we have a tremendous opportunity to inspire others and bring about change together.”  

Establishing a model to follow

Looking ahead, the UNIL researchers aim to extend their impact. Plans include forging a global alliance of cultural organizations committed to sustainability and introducing a label to structure these efforts effectively. Professor Martin Müller, securing substantial funding for a program to promote practical innovation based on scientific research, is poised to be at the forefront of this transformative journey. The future promises not just academic analysis but a concrete path towards a sustainable cultural landscape.

Survey methodology

Questionnaires were completed by 206 organizations from all continents. The data was analysed according to a model comprising three areas: governance (commitment, strategy, implementation, transparency); social (integrity, partnerships, urban integration, community, access, diversity & inclusion, employee well-being, learning & inspiration); and environmental (climate, biodiversity, water, waste, energy, mobility & transport, food & beverage, supply chain).

The organizations included in the survey were selected according to criteria such as their importance to the sector (based on a body of literature), their attractiveness (number of visitors) and the costs invested in their development. The idea was to select deliberately large organizations as the major players in the field.

Reference: M. Müller, J. Grieshaber, How sustainable are cultural organizations? A global benchmark, Sustainability: Science, Practice and Policy, 2024.

An online interactive version of the results will be available on the following website: https://storymaps.arcgis.com/stories/0edddae978c04b3f9e3444fa42301f9b


the study was carried out at the University of Lausanne (here, the geosciences building)

CREDIT

UNIL

 

Extinctions could result as fish change foraging behaviour in response to rising temperatures


Fish species respond to temperature increases by going after more readily available prey. Models suggest this behaviour could lead to more extinctions.


Peer-Reviewed Publication

GERMAN CENTRE FOR INTEGRATIVE BIODIVERSITY RESEARCH (IDIV) HALLE-JENA-LEIPZIG

Atlantic Cod (Gadus morhua) 

IMAGE: 

MODELS SUGGEST THAT THE ATLANTIC COD (GADUS MORHUA) MAY HAVE A HIGHER RISK OF EXTINCTION AS WATER TEMPERATURES INCREASE.

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CREDIT: WT FIEGE, WIKIMEDIA COMMONS




Fish are changing how they search for and consume prey in warmer waters, with models suggesting extinctions become more likely due to this behaviour change, according to a new study published in Nature Climate Change.

Led by researchers at the German Centre for Integrative Biodiversity Research (iDiv) and the Friedrich Schiller University Jena, the researchers found that fish in the Baltic Sea respond to temperature increases by consuming the first prey they encounter. This change in foraging behaviour led to the fish selecting prey that tends to be more abundant and smaller. Small prey present in their environment at all temperatures included brittle stars, small crustaceans, worms, and molluscs.

Fish, like many other consumer species, need more food when temperatures increase because their metabolism also increases. Although more abundant prey provides an immediate energy source, this so-called flexible foraging behaviour means fish are missing out on opportunities to satisfy their long-term energy needs by consuming larger prey that provide more calories. 

Model food web calculations show that this mismatch between a fish’s energetic requirements and their actual food intake could lead to more extinctions under warmer conditions, with fish ultimately starving because they are not eating enough to meet their energetic needs. The model, which can also be applied to other consumer species, suggests this is especially true for species higher up in food chains. The authors suggest that overall, this flexible foraging behaviour may make communities more vulnerable to climate change.

“It is usually assumed that species will adapt their foraging to maximise the amount of energy they consume”, explains first author Benoit Gauzens of iDiv and the University of Jena. “But these findings suggest fish – and other animals, too – may respond to the stress of climate change in unexpected and inefficient ways.”

Data from fish stomachs

The researchers analysed ten years of data about the stomach contents of six commercially important fish species with different feeding strategies in the Bay of Kiel. For example, flatfish, like the European flounder (Platichthys flesus), tend to be sit-and-wait predators, whereas Atlantic Cod (Gadus morhua) are more actively foraging feeders. 

Collected year-round from 1968 to 1978, this data provided insight into the fish’s diets – what was in their stomachs – and which prey was present in their environment at different temperatures. The stomach contents indicated that fish gradually shifted their focus from less abundant prey to more abundant prey as waters became warmer.

"Fish species in the Baltic Sea and elsewhere are facing a multitude of man-made pressures, like overfishing or pollution”, adds co-author Gregor Kalinkat of the Leibniz Institute of Freshwater Ecology and Inland Fisheries (IGB). “The effect of more inefficient prey searching behaviour under warming might be another, so far overlooked factor leading to fish stocks that cannot recover even when fisheries pressure is significantly reduced."

Using these insights, the researchers then calculated how this change in foraging behaviour at different temperatures impacts other species and the ecosystem overall using mathematical food web models based on theoretical communities. The results suggest that this change in foraging behaviour when temperature increases lead to more extinctions for consumer species, like fish. These extinctions, in turn, come with knock-on effects for other species in the community.

“Adaptation of foraging behaviour to local environmental conditions is usually a key to maintaining high levels of biodiversity in ecosystems”, Gauzens adds. “It is therefore puzzling to see that this might not be entirely true in the context of temperature increase.”

Though striking, the implications of the findings are estimated as they are currently based on theoretical models. In future, the researchers hope to test the mechanism in a natural environment and study different organisms to see whether they exhibit similar or different changes in their foraging behaviour.

The European Flounder (Platichthys flesus) is a sit-and-wait predator and one of the six species included in the study database.

CREDIT

J Fredriksson, Wikimedia Commons