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Integration of Conventional and Virtual Reality Approaches in Augmented Reality for Theory-Based Psychoeducational Intervention Design for Chronic Low Back Pain: Scoping Review
Full text linkBackground: Psychoeducation positively influences the psychological components of chronic low back pain (CLBP) in conventional treatments. The digitalization of health care has led to the discussion of virtual reality (VR) interventions. However, CLBP treatments in VR have some limitations due to full immersion. In comparison, augmented reality (AR) supplements the real world with virtual elements involving one’s own body sensory perception and can combine conventional and VR approaches.
Objective: The aim of this study was to review the state of research on the treatment of CLBP through psychoeducation, including immersive technologies, and to formulate suggestions for psychoeducation in AR for CLBP.
Methods: A scoping review following PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines was performed in August 2024 by using Livivo ZB MED, PubMed, Web of Science, American Psychological Association PsycINFO (PsycArticle), and PsyArXiv Preprints databases. A qualitative content analysis of the included studies was conducted based on 4 deductively extracted categories.
Results: We included 12 studies published between 2019 and 2024 referring to conventional and VR-based psychoeducation for CLBP treatment, but no study referred to AR. In these studies, educational programs were combined with physiotherapy, encompassing content on pain biology, psychological education, coping strategies, and relaxation techniques. The key outcomes were pain intensity, kinesiophobia, pain catastrophizing, degree of disability, quality of life, well-being, self-efficacy, depression, attrition rate, and user experience. Passive, active, and gamified strategies were used to promote intrinsic motivation from a psychological point of view. Regarding user experience from a software development perspective, user friendliness, operational support, and application challenges were recommended
Comparing Digital Versus Face-to-Face Delivery of Systemic Psychotherapy Interventions: Systematic Review and Meta-Analysis of Randomized Controlled Trials
Full text linkBackground: As digital mental health delivery becomes increasingly prominent, a solid evidence base regarding its efficacy is needed.
Objective: This study aims to synthesize evidence on the comparative efficacy of systemic psychotherapy interventions provided via digital versus face-to-face delivery modalities.
Methods: We followed PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) guidelines for searching PubMed, Embase, Cochrane CENTRAL, CINAHL, PsycINFO, and PSYNDEX and conducting a systematic review and meta-analysis. We included randomized controlled trials comparing mental, behavioral, and somatic outcomes of systemic psychotherapy interventions using self- and therapist-guided digital versus face-to-face delivery modalities. The risk of bias was assessed with the revised Cochrane Risk of Bias tool for randomized trials. Where appropriate, we calculated standardized mean differences and risk ratios. We calculated separate mean differences for nonaggregated analysis.
Results: We screened 3633 references and included 12 articles reporting on 4 trials (N=754). Participants were youths with poor diabetic control, traumatic brain injuries, increased risk behavior likelihood, and parents of youths with anorexia nervosa. A total of 56 outcomes were identified. Two trials provided digital intervention delivery via videoconferencing: one via an interactive graphic interface and one via a web-based program. In total, 23% (14/60) of risk of bias judgments were high risk, 42% (25/60) were some concerns, and 35% (21/60) were low risk. Due to heterogeneity in the data, meta-analysis was deemed inappropriate for 96% (54/56) of outcomes, which were interpreted qualitatively instead. Nonaggregated analyses of mean differences and CIs between delivery modalities yielded mixed results, with superiority of the digital delivery modality for 18% (10/56) of outcomes, superiority of the face-to-face delivery modality for 5% (3/56) of outcomes, equivalence between delivery modalities for 2% (1/56) of outcomes, and neither superiority of one modality nor equivalence between modalities for 75% (42/56) of outcomes. Consequently, for most outcome measures, no indication of superiority or equivalence regarding the relative efficacy of either delivery modality can be made at this stage. We further meta-analytically compared digital versus face-to-face delivery modalities for attrition (risk ratio 1.03, 95% CI 0.52-2.03; P=.93) and number of sessions attended (standardized mean difference –0.11; 95% CI –1.13 to –0.91; P=.83), finding no significant differences between modalities, while CIs falling outside the range of the minimal important difference indicate that equivalence cannot be determined at this stage.
Conclusions: Evidence on digital and face-to-face modalities for systemic psychotherapy interventions is largely heterogeneous, limiting conclusions regarding the differential efficacy of digital and face-to-face delivery. Nonaggregated and meta-analytic analyses did not indicate the superiority of either delivery condition. More research is needed to conclude if digital and face-to-face delivery modalities are generally equivalent or if—and in which contexts—one modality is superior to another
Biodiversity in a bottle – metabarcoding environmental samples from long-term monitoring archives for retrospective assessment of changes in biotic communities in the Anthropocene
Full text linkBiotic communities experienced significant changes in recent decades. Climate change, the overexploitation of natural resources and the immigration of invasive species are major drivers for this change and present unknown challenges for communities worldwide. To assess the impact of these drivers, standardised long-term studies are required, which are currently lacking for many species and ecosystems. Analysing environmental samples and the DNA of associated organisms using metabarcoding and high-throughput sequencing provides a cost-efficient and rapid way to generate the high-resolution biodiversity data which is so direly needed.
In this thesis, I demonstrate the great potential of using samples from the German Environ- mental Specimen Bank (ESB), a long-term monitoring archive that has been collecting and cryogenically storing highly standardised environmental samples since 1985. Modern analytical methods enable retrospective long-term biodiversity monitoring using these samples. In the first chapter, I illustrate metabarcoding as a central method, discussing its strengths and drawbacks, how to avoid them, and new application approaches. This chapter provides the methodological basis for the following studies.
In subsequent chapters, I present time series analyses of communities associated with these environmental samples. While for Chapter two the focus is on terrestrial arthropod communities, in Chapter three aquatic and terrestrial communities across the tree of life are analysed. A null model was developed for this survey for robust conclusions. The studies covered the last three decades and revealed substantial compositional changes across all ecosystems. These changes deviated significantly from the model, indicating that the changes are occurring faster than expected. Moreover, a trend toward homogenization in many terrestrial communities was uncovered. Climate change and the immigration of invasive species in combination with the loss of site-specific species are suspected to be the main drivers for this. In a follow-up study, changes of arthropod communities in German and South Korean terrestrial ecosystems were compared using ESB leaf samples from these two countries. Since both ESBs are harmonised in sample collection and processing, comparative analyses were applicable. This research covered the last decade and revealed substantial declines in species richness in Korea. Abiotic and biotic factors are discussed as potential drivers of these results.
Finally, the possibility of assessing tree health by analysing changes in functional fungal groups using German ESB samples was investigated. The results indicate that increasing infestation of specific functional groups is a proxy for declining tree health, with further analyses planned. In this dissertation, I present the great potential of samples from long-term monitoring archives to conduct retrospective biodiversity trend analyses across the tree of life. As technologies evolve, these samples will help to understand past and predict future ecosystem changes
Speech Enhancement Patterns in Human-Robot Interaction
Full text linkThis paper presents the results of the human-robot interaction (HRI) study with German native speakers addressing the robot in their L1 and in L2 English. The aim of the experiment is to test the strategies of providing clarifications when talking to the voice assistant in a task involving teaching complex vocabulary. The analyses is based on spectral (F1, F2, and mean F0) and temporal (vowel length) features excerpted from the target words. With reference to a theoretical framework of hyperarticulation and hypoarticulation, these acoustic measures were compared across the iterations of the target words (first vs. second iteration). Results showed that participants, when asked for clarification by an inanimate interlocutor, do not hyperarticulate, but try to preserve the surface representation of target words across the iterations. These findings suggest that acoustic characteristics of clarifications directed to voice assistants differ from the ones directed to human interlocutors
Essays in Labor Mobility and Workplace Technological Change
Full text linkGlobalization significantly transforms labor markets. Advances in production technologies, transportation, and political integration reshape how and where goods and services are produced. Local economic conditions and diverse policy responses create varying speeds of change, affecting regions' attractiveness for living and working -- and promoting mobility.
Competition for talent necessitates a deep understanding of why individuals choose specific destinations, how to ensure their effective labor market integration, and what workplace factors affect workers' well-being.
This thesis focuses on two crucial aspects of labor market change -- Migration and workplace technological change. It contributes to our understanding of the determinants of labor mobility, the factors facilitating migrant integration, and the role of workplace automation for worker well-being.
Chapter 2 investigates the relationship between minimum wages (MWs) and regional worker mobility in the EU. EU citizens are free to work anywhere in the common market, which allows them to take advantage of the significant variation in MWs across the EU. However, although MWs are set at the national level, it is also their local relevance that varies substantially -- depending on factors such as the share of affected workers or the extent to which they shift local compensation levels. These variations may attract workers from elsewhere, from within a country or from abroad.
Analyzing regional variations in the Kaitz index, a measure of local MW impact, reveals that higher MWs can significantly increase inflows of low-skilled EU workers, particularly in central Europe.
Chapter 3 examines the inequality in returns to skills experienced by immigrants, focusing on the role of linguistic proximity between migrants' origin and destination countries. Harmonized individual-level data from nine linguistically diverse migrant-hosting economies allows for an analysis of the wage gaps faced by immigrants from various origins, implicitly indicating how well they and their skills are integrated into the local labor markets. The analysis reveals that greater linguistic distance is associated with a higher wage penalty for highly skilled immigrants and a lower position in the wage distribution for those without tertiary education.
Chapter 4 investigates an institutional factor potentially relevant for the integration of immigrants -- the labor market impact of Confucius Institutes (CIs), Chinese government-sponsored institutions that promote Chinese language and culture abroad. CIs have been found to foster trade and cultural exchange, indicating their potential relevance in shaping attitudes and trust of natives towards China and Chinese individuals. Examining the relationship between local CI presence and the wages of Chinese immigrants in local labor markets of the United States, the analysis reveals that CIs associate with significantly reduced wages for nearby residing Chinese immigrants. An event study demonstrates that the mere announcement of a new CI negatively impacts local wages for Chinese immigrants, independent of the CI's actual opening.
Chapter 5 explores how working in automatable jobs affects life satisfaction in Germany. Following earlier literature, we classify occupations by potential for automation, and define the top third of occupations in this metric as \textit{automatable jobs}. We find workers in highly automatable jobs reporting a lower life satisfaction. Moreover, we detect a non-linearity, where workers in moderately automatable jobs (the second third of the distribution) experience a positive association with life satisfaction. Overall, the negative relationship of automation is most pronounced among younger and blue-collar workers, irrespective of the non-linearity
Modellierung von o-PO4- Einträgen in saarländische Oberflächenwasserkörper im Trockenwetterfall
Full text linkDie Verfügbarkeit von ortho-Phosphat (o-PO₄) trägt wesentlich zur Eutrophierung von Fließgewässern bei und gefährdet damit das Erreichen des „guten ökologischen Zustands“ gemäß der EU-Wasserrahmenrichtlinie. Da die kommunalen Kläranlagen zentrale Eintragsquellen darstellen, gewinnt die Reduktion von o-PO₄ an dieser Stelle an Bedeutung. Neben der chemischen Phosphorelimination bietet insbesondere die vierte Reinigungsstufe, primär zur Entfernung von Mikroschadstoffen konzipiert, einen Synergieeffekt mit potenziellen Phosphorentfernungsraten von bis zu 85 %.
Zur Bewertung des Einflusses einer solchen Reinigungsstufe wurde ein Modell für ausgewählte saarländische Oberflächenwasserkörper (OWK) entwickelt, das den Trockenwetterfall als eutrophierungsrelevantes Szenario abbildet. Ein zentraler Bestandteil ist ein neu erarbeiteter Retentionsansatz, der biochemische und physikalische Prozesse wie Adsorption, Sedimentation und biologische Assimilation berücksichtigt. Auf Basis der Differenz zwischen emissionsseitig bilanziertem und gemessenem o-PO₄-Gehalt wurden für jeden OWK Verminderungsraten je Fließmeter abgeleitet und schließlich eine Gleichung zur Abschätzung der Retention in Abhängigkeit der Einzugsgebietsgröße formuliert. Die Validierung zeigt hinreichende Modellgenauigkeit, wenngleich negative Frachtdifferenzen in einigen Gewässern auf zusätzliche, nicht eindeutig quantifizierbare Einträge – etwa aus Landwirtschaft oder Kanalverlusten – hindeuten.
Die Szenarienanalyse belegt, dass eine vierte Reinigungsstufe grundsätzlich zur Reduktion von o-PO₄ an den Messstellen beiträgt. Eine Unterschreitung des geltenden Orientierungswertes wird jedoch nur erreicht, wenn sämtliche Kläranlagen eines OWK nachgerüstet werden – und auch dann nur in einigen Fällen. Damit stellt die vierte Reinigungsstufe allein keine ausreichende Alternative zu den Maßnahmen des 3. Bewirtschaftungsplans des Saarlandes dar, kann jedoch als ergänzende Strategie zur Verringerung der Phosphoreinträge dienen
Homophobia in Greece - Contact-Mediated Effects of Demographics and Political and Religious Orientation
Full text linkIntroduction: Apart from a few studies with limited sample sizes, we have little data on attitudes toward lesbian and gay (LG) people in Greece. Methods: This study examines this topic in 949 heterosexual Greek participants. Based on previous research in cultural contexts other than Greece, we hypothesized that four demographics (gender, age, education, area of residence) and religious and political orientation predict a substantial amount of variance in homophobia (i.e., anti-LG attitudes). Results: We verified all observed variables except area of residence as significant predictors. Regarding the “intergroup contact hypothesis,” we distinguished the direct effects of the predictor variables from indirect effects mediated by contact with lesbians and gay men. All variables except area of residence showed a direct effect and, except for education, also an indirect effect on homophobia. The strongest effects were found for religious and political orientation, followed by gender. Highly religious, right-wing oriented, and male participants reported the highest levels of homophobia, partially mediated by their low level of contact with LG people. Discussion/Conclusion: The results confirm and further explain the detrimental role the Greek Orthodox Church, right-wing political parties, and traditional gender roles play in the acceptance of sexual minorities
Hybrid AI for Process Management - Improving Similarity Assessment in Process-Oriented Case-Based Reasoning via Deep Learning
Full text linkCase-Based Reasoning (CBR) is a symbolic Artificial Intelligence (AI) approach that has been successfully applied across various domains, including medical diagnosis, product configuration, and customer support, to solve problems based on experiential knowledge and analogy. A key aspect of CBR is its problem-solving procedure, where new solutions are created by referencing similar experiences, which makes CBR explainable and effective even with small amounts of data. However, one of the most significant challenges in CBR lies in defining and computing meaningful similarities between new and past problems, which heavily relies on domain-specific knowledge. This knowledge, typically only available through human experts, must be manually acquired, leading to what is commonly known as the knowledge-acquisition bottleneck.
One way to mitigate the knowledge-acquisition bottleneck is through a hybrid approach that combines the symbolic reasoning strengths of CBR with the learning capabilities of Deep Learning (DL), a sub-symbolic AI method. DL, which utilizes deep neural networks, has gained immense popularity due to its ability to automatically learn from raw data to solve complex AI problems such as object detection, question answering, and machine translation. While DL minimizes manual knowledge acquisition by automatically training models from data, it comes with its own limitations, such as requiring large datasets, and being difficult to explain, often functioning as a "black box". By bringing together the symbolic nature of CBR and the data-driven learning abilities of DL, a neuro-symbolic, hybrid AI approach can potentially overcome the limitations of both methods, resulting in systems that are both explainable and capable of learning from data.
The focus of this thesis is on integrating DL into the core task of similarity assessment within CBR, specifically in the domain of process management. Processes are fundamental to numerous industries and sectors, with process management techniques, particularly Business Process Management (BPM), being widely applied to optimize organizational workflows. Process-Oriented Case-Based Reasoning (POCBR) extends traditional CBR to handle procedural data, enabling applications such as adaptive manufacturing, where past processes are analyzed to find alternative solutions when problems arise. However, applying CBR to process management introduces additional complexity, as procedural cases are typically represented as semantically annotated graphs, increasing the knowledge-acquisition effort for both case modeling and similarity assessment.
The key contributions of this thesis are as follows: It presents a method for preparing procedural cases, represented as semantic graphs, to be used as input for neural networks. Handling such complex, structured data represents a significant challenge, particularly given the scarcity of available process data in most organizations. To overcome the issue of data scarcity, the thesis proposes data augmentation techniques to artificially expand the process datasets, enabling more effective training of DL models. Moreover, it explores several deep learning architectures and training setups for learning similarity measures between procedural cases in POCBR applications. This includes the use of experience-based Hyperparameter Optimization (HPO) methods to fine-tune the deep learning models.
Additionally, the thesis addresses the computational challenges posed by graph-based similarity assessments in CBR. The traditional method of determining similarity through subgraph isomorphism checks, which compare nodes and edges across graphs, is computationally expensive. To alleviate this issue, the hybrid approach seeks to use DL models to approximate these similarity calculations more efficiently, thus reducing the computational complexity involved in graph matching.
The experimental evaluations of the corresponding contributions provide consistent results that indicate the benefits of using DL-based similarity measures and case retrieval methods in POCBR applications. The comparison with existing methods, e.g., based on subgraph isomorphism, shows several advantages but also some disadvantages of the compared methods. In summary, the methods and contributions outlined in this work enable more efficient and robust applications of hybrid CBR and DL in process management applications
Alexandria et Aegyptus. Studien zu den Marmorportraits des römischen Ägypten
Full text linkKnapp 90 Jahre nach Erscheinen des Buchs von Paul Graindor zu den „Bustes et Statues-Portraits d'Egypte Romaine“ widmet sich mit der vorliegenden Dissertation erstmals wieder eine monographische Studie der marmornen Bildnisplastik der römischen Provinz Aegyptus von ihrer Gründung im Jahr 30 v. Chr. bis zum Ende des 3. Jhs. n. Chr. Basierend auf einer umfassenden Zusammenstellung bekannter, aber auch bislang unpublizierter Portraits sowie einer Neudokumentation zahlreicher Objekte gelingt erstmalig eine belastbare chronologische und typologische Auswertung dieser Bildnisse. Zwar bilden dabei die Darstellungen aus weißem Marmor die zentrale und auch quantitativ bei weitem größte Materialgruppe, doch es finden auch Bildnisse aus anderen Werkstoffen wie Bronze, Kalkstein, Gips oder Alabaster Berücksichtigung. Da die Provinz aufgrund geringer eigener Marmorvorkommen fast ausschließlich auf Importe angewiesen war, sind die Marmorbildnisse ein exzellentes Forschungsobjekt, um nicht nur den Handel von Marmor nach Ägypten und seine Distribution und Weiterverarbeitung in der Provinz zu untersuchen, sondern auch damit verbundene handwerkliche Besonderheiten, wie die häufig zu beobachtenden Ergänzungen mit Stuck- oder Steinelementen. Darüber hinaus werden auch Überlegungen zur Semantik des Materials sowie der Herkunft und dem Selbstverständnis der dargestellten Personen angestellt.Almost 90 years after the publication of Paul Graindor's book on the „Bustes et Statues-Portraits d'Egypte Romaine“, this doctoral thesis is the first monographic study of marble portrait sculpture in the Roman province of Egypt from its establishment in 30 BC to the end of the 3rd century AD. Based on a comprehensive compilation of known, but also previously unpublished portraits and the improved documentation of numerous objects, a reliable chronological and typological assessment of these portraits has been achieved for the first time. Although the portraits made of white marble form the central and also by far largest group of objects, portraits made of other materials such as bronze, limestone, plaster or alabaster are also included in this study. As the province was almost exclusively dependent on imports due to its own limited marble deposits, the marble portraits are an excellent object of research for investigating not only the transport of marble to Egypt and its distribution and further processing in the province itself, but also certain peculiarities in the craftsmanship, such as the frequent additions of stucco or stone elements. In addition, considerations on the semantics of the material as well as the origin and the self-image of the people depicted are also part of the investigation
Individual and contextual predictors of the entrepreneurial process - A multi-level perspective on the behavior of entrepreneurs and self-employed
Full text linkEntrepreneurship is recognized as an important discipline to achieve sustainable development and to address sustainability goals without losing sight of economic aspects. However, entrepreneurship rates are rather low in many industrialized countries with high income levels. Research clearly shows that there is a gap in the entrepreneurial process between intentions and subsequent actions. This means that not everyone with entrepreneurial ambitions also follows through and implements actions. This gap also exists for aspects of sustainability. As a result, there is a need to better understand the traditional and sustainability-focused entrepreneurial process in order to increase corresponding actions. This dissertation offers such a comprehensive perspective and sheds light on individual and contextual predictors for traditional and sustainability-focused behavior of entrepreneurs and self-employed across four studies.
The first three studies focus on individual predictors. By providing a systematic literature review with 107 articles, Chapter 2 highlights the ambivalent role of religion for the entrepreneurial process. Relying on the theory of planned behavior (TPB) as theoretical basis, religion can have positive effects on entrepreneurial attitudes and behavioral control, but also negative consequences for other aspects of behavioral control and subjective norms due to religious restrictions.
The quantitative empirical study in Chapter 3 similarly relies on the TPB and sheds light on individual perceptual factors influencing the sustainability-related intention-action gap in entrepreneurship. Using data from the 2021 Global Entrepreneurship Monitor (GEM) Adult Population Survey (APS) including 22,008 early-stage entrepreneurs from 44 countries worldwide, the results support our theoretical reasoning that sustainability-focused intentions are positively related to social entrepreneurial actions. In addition, it is demonstrated that positive perceptual moderators such as self-efficacy and knowing other entrepreneurs as role models strengthen this relationship while a negative perception such as fear of failure restricts social actions in early-stage entrepreneurship.
The next quantitative empirical study in Chapter 4 examines the behavioral consequences of well-being at a sample of 6,955 German self-employed during COVID-19. This chapter builds on two complementary behavioral perspectives to predict how reductions in financial and non-financial well-being relate to investments in venture development. In this regard, reductions in financial well-being are positively related to time investments, supporting the performance feedback perspective in terms of higher search efforts under negative performance. In contrast, reductions in non-financial well-being are negatively related to time and monetary investments, yielding support for the broadening-and-build perspective indicating that negative psychological experiences narrow the thought-action repertoire and hinder resource deployment. The insights across these first three studies about individual predictors indicate that many different, subjective beliefs, perceptions and emotional states can influence the entrepreneurial process making entrepreneurship and self-employment highly individualized disciplines.
The last quantitative empirical study provides an explorative view on a large number of contextual predictors for social and ecological considerations in entrepreneurial actions. Combining GEM data from 2021 on country level with further information from the World Bank and the OECD, a machine learning approach is employed on a sample of 84 countries worldwide. The results suggest that governmental and regulatory as well as cultural factors are relevant to predict social and ecological considerations. Moreover, market-related aspects are shown to be relevant predictors, especially socio-economic factors for social considerations and economic factors for ecological considerations. Overall, the four studies in this dissertation highlight the complexity of the entrepreneurial process being determined by many different individual and contextual factors. Due to the multitude of potential predictors, this dissertation can only give an initial overview of a selection of factors with many more aspects and interdependencies still to be examined by future research