Europe faces the dual challenges of population ageing and increasing migration, resulting in a growing demographic of older immigrants with complex healthcare needs. Despite extensive research on ageing and migration, regional evidence on healthcare provision for older immigrants remains fragmented. Participatory approaches that integrate the voices and experiences of older immigrants can improve cultural sensitivity, accessibility, and health equity, ultimately leading to better outcomes. This scoping review seeks to contribute to filling the existing knowledge gap by systematically mapping the literature on healthcare provision using participatory approaches for older immigrants in Europe. This scoping review followed Arksey and O'Malley's methodological framework and the PRISMA-ScR reporting guidelines. A comprehensive search of five electronic databases was conducted in February 2025. Eligible studies included empirical research focusing on immigrants aged 60 years and older in Europe that used participatory approaches to healthcare provision. Data were charted and synthesized thematically to identify barriers and facilitators of healthcare utilization discussed in the context of participatory approaches, as well as gaps in the literature. From 2,411 records, 23 studies published between 2011 and 2025 met the inclusion criteria. Most were conducted in the United Kingdom, Denmark, and Sweden, employing diverse qualitative, quantitative, and mixed-methods designs. Common participatory strategies included bilingual/bicultural staff, partnerships with community organizations, and the involvement of peer researchers. These approaches enhanced trust, relevance, and access to healthcare services. Key barriers were language and communication difficulties, cultural stigma, and distrust of services. Enablers included culturally adapted interventions, continuity of care, and trusted community engagement. However, many studies reported the use of superficial participatory methods, underrepresented certain migrant groups, and rarely assessed long-term outcomes or compared participatory versus non-participatory models. Participatory approaches demonstrate strong potential to enhance healthcare provision for older immigrants in Europe by improving cultural competence, accessibility, and trust. To achieve equity, participatory practices must be embedded into mainstream healthcare systems through sustainable funding, workforce training, and policy reforms. Future research should prioritize comparative evaluations, long-term impact assessments, and inclusion of underrepresented immigrant populations.
This study examines how firms operating in emerging-economy contexts build organizational resilience, emphasizing the entrepreneurial mechanisms through which strategic resources are transformed into adaptive capacity. Drawing on perspectives from international entrepreneurship and dynamic capabilities, the study argues that entrepreneurial ambidexterity is a core factor enabling firms to navigate uncertainty and technological turbulence. Using survey data from 588 firms across multiple industries in Middle Eastern countries, the study employs structural equation modeling to test mediation and moderation effects. The findings show that organizational capabilities and resource alignment enhance organizational resilience primarily through entrepreneurial ambidexterity, which facilitates opportunity exploration and exploitation under volatile conditions. Technological turbulence further conditions these relationships, shaping the effectiveness of entrepreneurial responses to environmental change. By theorizing resilience as an entrepreneurial outcome rather than a static organizational attribute, this study advances international entrepreneurship research by explaining how firms in emerging markets enact resilience through ambidextrous entrepreneurial action in turbulent international environments. The findings extend dynamic capabilities theory by demonstrating how international and technological turbulence jointly influence entrepreneurial adaptation beyond developed-economy settings.
This study examines how elite track and field athletes who advocate for clean sport understand the role of sponsorship in shaping integrity within a commercialised sport context. Drawing on an interpretive qualitative approach, we conducted a secondary analysis of 12 publicly available episodes from the Clean Sport Collective podcast, in which athletes reflect on sponsorship, professionalisation, and ethical challenges in elite sport. Using reflexive thematic analysis, four themes were generated: (1) the impact of commercial pressures on athletes' lived experiences, (2) how sponsorship structures shape perceived performance expectations and doping vulnerabilities, (3) the perceived risks and constraints associated with speaking publicly about doping and other integrity-related concerns, and (4) alternative sponsorship models that prioritise athlete wellbeing. Athletes frequently referenced doping as one salient integrity concern, positioning it as a moral and economic injustice that undermines sporting competition, while also expressing concern about reputational and contractual consequences of addressing integrity issues in public forums. Athletes did not describe personal intentions to use prohibited substances; rather, they articulated how commercial and sponsorship environments can create ethical tensions that disproportionately disadvantage those committed to clean sport. Collectively, the findings highlight the vulnerabilities of athletes within elite sport as they navigate sponsorship systems and point to the potential for sponsors to play a more active role in fostering ethical practice and clean sport cultures.
People living in urban centres are exposed to higher levels of heat stress than those living outside of these areas; this is intensified by the urban heat island effect. Heat stress is a concern for the more vulnerable members of society and can exacerbate many medical conditions; excessive heat increases morbidity and mortality rates. Green infrastructure can help to mitigate against excessive urban heat and provide more thermally comfortable environments. This paper presents data from a high spatial and temporal resolution microclimate sensor network in the city of Leeds, United Kingdom. Sensors are installed in grey spaces and green spaces, including small city centre parks, large suburban parks and treescapes. Analysis focuses on two summer periods (June-August 2023 and 2024). These data demonstrate that treescapes offer the greatest relief from excessive urban heat when compared with other greenspaces. Urban treescapes were a mean of 1.4 degrees C cooler than surrounding grey spaces, compared with a difference of 0.7 degrees C between parks and grey spaces. During peak air temperature periods, parks were up to 2.8 degrees C cooler, and treescapes were up to 5 degrees C cooler than grey urban spaces. Universal Thermal Climate Index calculations demonstrate that the urban treescapes consistently provide lower exposure to heat stress; when sub-canopy solar radiation levels are considered, treescapes expose citizens to 96% fewer hours of strong heat stress and 64% fewer hours of moderate heat stress than urban grey spaces. Results presented in this paper support the retention and expansion of urban greenspaces and urban treescapes; specifically, they also have important implications for a range of associated issues including citizen health and well-being, inclusive, just access, urban planning and policy development.Read the free for this article on the Journal blog.
Cascading impacts of climate change and rapid urbanization demand transformative adaptation for just futures. But operationalizing transformations continues to be a challenge. This paper presents a critical learning framework as a pathway for disaster risk reduction interventions to build adaptive capacity for transformative adaptation, facilitating fundamental changes in decision-making. This requires multiple stakeholders to critically reflect on embedded values from diverse perspectives, exploring new information and testing alternative perspectives to consider alternative choices. This can equip local actors with the knowledge, skills and relationships to help translate nascent values into transformative action. The paper explores this process through a retrospective analysis of the applied research project Tomorrow's Cities, which worked in 10 cities to support science-informed and locally inclusive decision-making for just, risk-sensitive urban development visioning. The experience shows that critical learning can open transformative opportunities in adaptation interventions by fostering shared realizations among diverse actors.
