A circular economy (CE) aims at decoupling value creation from waste generation and resource use by radically transforming production and consumption systems. Recent reviews on the topic of the circular economy have indicated that cultural barriers are a significant factor hindering the diffusion of so-called 'circular' business models, particularly the lack of consumer-or user-acceptance. However, none of them has provided an overview of the existing literature addressing such issues that can help academics and practitioners better understand consumption considerations when addressing the circular economy. Motivated by these observations, this paper presents the results of a literature review that summarises and discusses insights from 111 articles in terms of the problem area, theoretical approaches, methods, and tools that have been used to collect and analyse data, the main issues, and identified research gaps. The results show that most of the existing scientific work on the circular economy and circular solutions addressing consumption has focussed on identifying factors that drive or hinder the consumption of circular solutions. A smaller but expanding set of articles has focussed on offering insights into the nature, meaning, and dynamics of consumption in the context of the circular economy. According to this set of articles, consumption in the circular economy is anonymous, connected, political, uncertain, and based on multiple values, not only utility. A smaller set of papers has explored the integration of user and consumer perspectives into design processes. Although these contributions are relevant, opportunities for further research are still open, particularly regarding socio-material and cultural aspects of consumption in the context of the circular economy, and the role of digitalisation. In addition, more work could be done regarding strategies to foster not only acceptance but also the adoption and diffusion of the circular economy. Based on the findings of this literature review, some ideas for a research agenda on the issue of consumption in the circular economy are outlined.

BackgroundAlthough digital technologies can mitigate the burdens of home healthcare services caused by an ageing population that lives at home longer with complex health problems, research on the impacts and consequences of digitalised remote communication between patients and caregivers is lacking. The present study explores how home healthcare professionals had experienced the introduction of digital medicine dispensers and their influence on patient-caregiver relationships.MethodsThe multi-case study comprised semi-structured interviews with 21 healthcare professionals whose home healthcare service involved using the digital medicine dispensers. The constant comparative method was used for data analyses.ResultsAltogether, interviewed healthcare professionals reported three main technology-related impacts upon their patient-caregiver relationships. First, national and local pressure to increase efficiency had troubled their relationships with patients who suspected that municipalities have sought to lower costs by reducing and digitalising services. Participants reported having to consider such worries when introducing technologies into their services. Second, participants reported a shift towards empowering patients. Digital technology can empower patients who value their independence, whereas safety is more important for other patients. Healthcare professionals needed to ensure that replacing care tasks with technology implies safe and improved care. Third, the safety and quality of digital healthcare services continues to depend upon surveillance and control mechanisms that compensate for less face-to-face monitoring. Participants did not consider the possibility that surveillance exposes information about patients’ everyday lives to be problematic, but to constitute opportunities for adjusting services to meet patients’ needs.ConclusionsTechnologies such as digital medicine dispensers can improve the efficiency of healthcare services and enhance patients’ independence when introduced in a way that empowers patients as well as safeguards trust and service quality. Conversely, the patient-caregiver relationship can suffer if the technology does not meet patients’ needs and fails to offer safe and trustworthy services. Upon introducing technology, home healthcare professionals therefore need to carefully consider the benefits and possible disadvantages of the technology. Ethical implications for both individuals and societies need to be further discussed.

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Edible insects are regarded as one of the most sustainable animal protein sources for human consumption, but for western people insects are a rather unusual food ingredient. In the media, however, insect consumption is gaining increasing attention and people are starting to acknowledge insects as a potential source of protein. The eating of insects, ‘entomophagy’, is bringing new insect food companies, ‘ento-preneurs’ to the market, yet current research is still insufficient and relatively fragmented to support the commercialization of insect-based food products. Therefore, more systematic research approaches are needed in this area. This review article introduces the benefits and challenges of insect-eating, discusses the factors that are known to influence consumer acceptance, and categorizes factors including adoption strategies into a framework that can be applied in future consumer studies on entomophagy. In addition, the article introduces three distinctive examples of design interventions to illustrate how design can contribute as a strategy to support the general adoption of insect foods by western consumers.

One of the sectors that are being challenged to become circular is the clothing sector.Clothe swapping is considered as an example of a circular solution that enables slowing material loops. However, consumers have failed to widely engage in this type of practice and only a few studies explore this topic using a social practice perspective. This theoretical approach bridges individual and structural approaches to social change. In this study we explore why people in an emerging economy such as Colombia engage in clothe swapping, by exploring it from a social practice perspective.Based on interview and visual data, we explored the configuration of the practice, the interaction between elements, and the reasons why it recruits practitioners. We found that people participate in clothe swapping for economic, environmental, and innovative reasons. In order to perform the practice, three types of elements are involved: material elements such as clothes and place, skills for selecting and preparing the clothes for exchange and rules regarding these materials and behaviours during the event, and images and meanings. We characterised three interconnections between these elements that have been used to enable the practice, and finally, we explored how the participants' networks, histories, and capitals; the social significance of the practice; and its connections to other practices influence recruitment. This approach allowed us to identify paradoxes between the purpose and the implementation of the practice. Future research could use this perspective to compare cases in different socio-economic context.