Controversial valuations. Assembling environmental concerns and economic worth in clean-tech markets

International audienceEnvironmental concerns are increasingly seen a not only raising a threat to which firms need to adapt by becoming "greener" and more "socially esponsible", but also as offering opportunities or new business development. Instead of being relinquished to the status of externalities, which firms more or less willingly come to internalize, environmental qualities (or deficiencies) now sometimes happen to be brought to he enter of the calculation of the value of new products. The emergence of a "clean tech" sector epitomizes this move towards the economization (Callon and Caliskan 2009) of concerns which have hitherto been considered as lying outside of the market. This paper proposes to investigate the construction of clean tech markets by examining the mechanisms through which new technologies succeed (or fail) to be transformed into goods which possess a twofold value: environmental quality (their "cleanliness") and economic worth (their price)

Development of the Multidimensional Readiness and Enablement Index for Health Technology (READHY) Tool to Measure Individuals' Health Technology Readiness:Initial Testing in a Cancer Rehabilitation Setting

BACKGROUND: The increasing digitization of health care services with enhanced access to fast internet connections, along with wide use of smartphones, offers the opportunity to get health advice or treatment remotely. For service providers, it is important to consider how consumers can take full advantage of available services and how this can create an enabling environment. However, it is important to consider the digital context and the attributes of current and future users, such as their readiness (ie, knowledge, skills, and attitudes, including trust and motivation). OBJECTIVE: The objective of this study was to evaluate how the eHealth Literacy Questionnaire (eHLQ) combined with selected dimensions from the Health Education Impact Questionnaire (heiQ) and the Health Literacy Questionnaire (HLQ) can be used together as an instrument to characterize an individual\u27s level of health technology readiness and explore how the generated data can be used to create health technology readiness profiles of potential users of health technologies and digital health services. METHODS: We administered the instrument and sociodemographic questions to a population of 305 patients with a recent cancer diagnosis referred to rehabilitation in a setting that plans to introduce various technologies to assist the individuals. We evaluated properties of the Readiness and Enablement Index for Health Technology (READHY) instrument using confirmatory factor analysis, convergent and discriminant validity analysis, and exploratory factor analysis. To identify different health technology readiness profiles in the population, we further analyzed the data using hierarchical and k-means cluster analysis. RESULTS: The confirmatory factor analysis found a suitable fit for the 13 factors with only 1 cross-loading of 1 item between 2 dimensions. The convergent and discriminant validity analysis revealed many factor correlations, suggesting that, in this population, a more parsimonious model might be achieved. Exploratory factor analysis pointed to 5 to 6 constructs based on aggregates of the existing dimensions. The results were not satisfactory, so we performed an 8-factor confirmatory factor analysis, resulting in a good fit with only 1 item cross-loading between 2 dimensions. Cluster analysis showed that data from the READHY instrument can be clustered to create meaningful health technology readiness profiles of users. CONCLUSIONS: The 13 dimensions from heiQ, HLQ, and eHLQ can be used in combination to describe a user\u27s health technology readiness level and degree of enablement. Further studies in other populations are needed to understand whether the associations between dimensions are consistent and the number of dimensions can be reduced

Do Women With High eHealth Literacy Profit More From a Decision Aid on Mammography Screening? Testing the Moderation Effect of the eHEALS in a Randomized Controlled Trial

Background: Our decision aid on mammography screening developed according to the criteria of the International Patient Decision Aids Standards Collaboration increases knowledge compared to usual care. However, it remains unclear whether this decision aid is more effective in women with higher eHealth literacy. Our objective was to test whether the positive effect of the decision aid on knowledge is moderated by eHealth literacy.Methods: A total of 1,206 women aged 50 from Westphalia-Lippe, Germany, participated (response rate of 16.3%) in our study and were randomized to usual care (i.e., the standard information brochure sent with the programme's invitation letter) or the decision aid. eHealth literacy was assessed at baseline with the Electronic Health Literacy Scale (eHEALS); knowledge was assessed at baseline and post-intervention. First, we compared the 2-factor model of the German eHEALS (information-seeking and information-appraisal) found in previous research and the 3-factor model we hypothesized for decision aid use to the originally proposed 1-factor model. Second, we modeled the measurement model according to the superior factor model found in step one and tested whether the eHEALS moderated the effect of the decision aid on knowledge.Results: The 3-factor model of the eHEALS had a better model fit than the 1-factor or 2-factor model. Both information-seeking, information-appraisal, and information-use had no effect on knowledge post-intervention. All three interactions of the decision aid with information-seeking, information-appraisal, and information-use were not significant. Equally, neither education nor its interaction with the decision aid had an effect on knowledge post-intervention.Conclusion: The decision aid developed in this project increases knowledge irrespective of level of eHealth literacy. This means that not only women with high eHealth literacy profit from the decision aid but that the decision aid has been successfully conceptualized as a comprehensible information tool that can be used by women of varying eHealth literacy levels.Trial registration: German Clinical Trials Register DRKS00005176 (https://www.drks.de/drks_web/navigate.do?navigationId=trial.HTML&TRIAL_ID=DRKS00005176)

Exceptional boards: Environmental experience and positive deviance from institutional norms

This paper explores the phenomenon of positive organizational deviance from institutional norms by establishing practices that protect or enhance the natural environment. Seeking to explain why some organizations practice positive environmental deviance while others do not, we locate our inquiry on the board of directors—the organizational body that interprets external issues and guides organizational response. We find a strong correlation between positive deviance and the past environmental experience of board directors and the centrality of the organization within field-level networks. Organizations located on the periphery of the network or whose boards possess a high level of environmental experience are more likely to deviate in positive ways. Our conclusions contribute to multiple literatures in behavioral and environmental governance, the role of filtering and enaction in the process of institutional conformity and change, and the mechanisms behind proactive environmental protection strategies within business

Building markets for clean technologies: controversies, environmental concerns and economic worth

International audienceIn this paper, we investigate the construction of markets for clean technologies by examining the mechanisms through which new technologies succeed (or fail) to be transformed into goods that are both environmentally and economically valuable. We envisage this process as a particular form of market innovation in which new product qualities are inscribed into market architectures. We focus on the market for clean technologies that emerged as a result of the EU Integrated Pollution Prevention and Control (IPPC) directive that required polluting industries, including livestock farms, to implement the “best available techniques” in order to reduce their emissions. Our case study traces a Danish start-up firm's endeavors to commercialize one such “best availabletechnique:” a solution for reducing ammonia emissions from farms. Building on the literature on the shaping of markets, we show that the construction of a market for clean technologies hinges upon the composition of a complex network of actors with divergent, and sometimes conflicting, interests, in which market devices (in this case, a technology list) play a pivotal role. More generally, the paper contributes to discussions on controversies and performativity in market practices and on the construction of markets designed to address environmental issues

Clean and Profitable: Entangling Valuations in Environmental Entrepreneurship

International audienceIn public debates on climate change, environmental and economic value are often seen as standing in contradiction. This chapter examines regulatory and entrepreneurial attempts to reconcile environmental and economic value by turning polluting substances into matters of worth. Our case focuses on animal slurry in agriculture – a hybrid valuation object which produces both ammonia emissions in the atmosphere and fertilizer for the farm’s crops. Following the implementation of regulation aiming to reduce ammonia emissions from livestock farming, entrepreneurs have introduced new technologies to clean and thus valorize slurry; the construction of a market for such “clean” technologies has in turn raised the issue of how their value can be demonstrated and measured. We analyze the valuation work performed by regulators (the Danish Environmental Protection Agency) and entrepreneurs (a start-up that developed a solution for cleaning slurry), and contrast different modes of reconciling environmental and economic value