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Electronic waste (e-waste), often dominated by the informal sector, has had adverse effects on recipient developing countries' economies, health and physical environment. Ghana, over the years, has had support from international organisations to manage its e-waste crisis. Until 2016, there was no e-waste specific policy to guide the management of the sector. In 2016, Ghana passed a regulatory policy – Act 917 – to specifically deal with e-waste, supported by other frameworks such as a regulatory instrument (L.I. 2250), a technical guideline for environmentally sound e-waste management and an e-waste-specific policy, which is currently being developed. However, there is dearth of research on how effectively a regulatory policy such as Act 917 can help address an informally dominated sector whose crude recycling approaches have had great environmental and health impacts. Adapting the analytical framework and intervention theory, key stakeholders within the e-waste sector were interviewed on: the effectiveness of the Act, the challenges confronting them and their involvement in the design and implementation processes. The findings showed that stakeholders were represented at various stages of the process. Informal recyclers were provided with training programmes, health centres and an incentive scheme to minimise burning of electrical and electronic equipment. There however exist many challenges to the sound management of the sector, particularly, the lack of end-to-end recycling facilities, registering and formalising the sector and sequencing of the e-waste policy and regulatory framework. The research concludes by recommending areas for future studies. [ABSTRACT FROM AUTHOR]

Purpose: The concept of "participation" has become a buzzword in contemporary public governance models. However, despite the broad and significant interest, defining participation remains a debated topic. The aim of the current study was to explore how participants perceived and interpreted the meaning and scope of participation. Design/methodology/approach: This study is part of a four-year (2019–2022) longitudinal research project investigating stakeholder participation in the context of developing and establishing a strategic regional plan in Region Skåne in southern Sweden. The research project has a qualitative approach and uses interviews with different stakeholder groups such as municipal politicians and public officials and a survey as empirical material. Findings: The authors developed a participation spectrum including eight types of participation: to be open, to be informed, to be listened to, to discuss, to be consulted, to give and take, to collaborate and to co-create. The authors also identified four different purposes of participation: creating a joint network, creating a joint understanding, creating a joint effort and creating a joint vision. The spectrum and the purposes were related through four characteristics of participation, i.e. involvement, interaction, influence and empowerment. Research limitations/implications: The study rests on a single case, and so the results have limited transferatibility. Originality/value: Researching participation in terms of the participants' perceptions contributes a new perspective to the existing literature, which has commonly focussed on the organizers' perceptions of participation. Moreover, in order to clarify what participation meant to the participants, the study puts emphasis on untangling this from the why question of participation. [ABSTRACT FROM AUTHOR]

Background : Involving stroke patients in clinical research through patient engagement aims to ensure that studies are patient-centered, and may help ensure they are feasible, ethical, and credible, ultimately leading to enhanced trust and communication between researchers and the patient community. In this study, we have conducted a scoping review to identify existing evidence and gaps in SPSE. Methods: The five-step approach outlined by Arksey and O'Malley, in conjunction with the Preferred Reporting Items for Scoping Reviews (PRISMA-ScR) guidelines, provided the structure for this review. To find relevant articles, we searched PubMed, Web of Science, and Embase databases up to February 2024. Additionally, the review team conducted a hand search using Google Scholar, key journals, and references of highly relevant articles. Reviewers screened articles, selecting eligible English-language ones with available full texts, and extracted data from them into a pre-designed table tested by the research team. Result: Of the 1002 articles initially identified, 21 proved eligible. Stakeholder engagement primarily occurred during the design phase of studies and within the studies using qualitative methodologies. Although the engagement of stakeholders in the research process is increasing, practice regarding terminology and principles of implementation remains variable. Researchers have recognized the benefits of stakeholder engagement, but have also faced numerous challenges that often arise during the research process. Conclusion: The current study identifies stakeholder groups and the benefits and challenges researchers face in implementing their engagement. Given existing challenges and limited specific models or frameworks, it is suggested to explore applied recommendations for stakeholder engagement in future studies, that may enhance stakeholder engagement, overcome obstacles, and unify researchers' understanding of engagement and implementation. [ABSTRACT FROM AUTHOR]

Energy system planning has evolved from a narrow focus on engineering and supply works towards addressing more complex, multifactorial challenges. Increasingly challenged by climate change, extreme events, economic shocks, and altered supply demand patterns, the analysis of energy systems requires holistic approaches based on data-driven models, taking into account key socio-economic factors. We draw insights from reviewing the literature, indicating the need to cover the following major gaps: the shift to transdisciplinary approaches, incorporating environmental system analysis; resilient and sustainable energy designs based on flexible portfolios of renewable mixes; the integration of socio-economic aspects, economic analyses and behavioural models to ensure energy systems are not only technically sound but socially acceptable and viable; the need for stakeholder engagement considering the human angle in energy security and behavioural shifts. Responding to these pressing challenges and emerging needs, the Global Climate Hub (GCH) initiative, operating under the UN Sustainable Development Solutions Network, offers a conceptual framework, leveraging transdisciplinary approaches. In this Concept Paper, we present for the first time the idea of the GCH as a framework that we believe has the potential to address the modern holistic needs for energy system analysis and policymaking. By setting the conceptual/theoretical ground of our suggested approach, we aim to provide guidance for innovative combinations of cutting-edge models, socio-economic narratives, and inclusive interaction with relevant stakeholders for the development and the long-term implementation of sustainable pathways. [ABSTRACT FROM AUTHOR]

In urban property development projects, attention to the needs and aspirations of local communities is often neglected. Although some developers still consider local community stakeholders to be a potential threat to their developments, in many developed countries, stakeholder participation is embedded within statutory processes such as the formal planning process and is increasingly regarded as a component of sustainable development. Even though the local community is widely recognized as an important project stakeholder, little has been done to understand how to engage effectively with this stakeholder group to resolve their concerns. The purpose of this study is to investigate practitioners' perceptions and actions on local community participation in urban property development projects. The study is conducted through interviews with 12 actors in the southern part of Sweden. The findings show the importance of early involvement of local communities, the relevance of building community networks, trust and relations, the challenges to stakeholder participation and the need to formalize stakeholder participation in the organizations. [ABSTRACT FROM AUTHOR]

Meaningful engagement with stakeholders in research demands intentional approaches. This paper describes the development of a framework to guide stakeholder engagement as research partners in a pragmatic trial proposed to evaluate behavioral interventions for dysphagia in head and neck cancer patients. We highlight the core principles of stakeholder engagement including representation of all perspectives, meaningful participation, respectful partnership with stakeholders, and accountability to stakeholders; and describe how these principles were operationalized to engage relevant stakeholders throughout the course of a large clinical trial. [ABSTRACT FROM AUTHOR]

Co‐production is a collaborative way of working which emphasises the exchange of diverse forms of knowledge in an equal partnership for equal benefits. Co‐produced research is a key strategic aim of the UK Research and Innovation (UKRI) Transforming UK Food Systems (TUKFS) Strategic Priorities Fund; this research programme brings together researchers, policymakers, industry and communities to create positive change in the way food is produced, accessed and consumed. However, more generally, there are diverse understandings of co‐production and a lack of consensus on what 'good practice' looks like. Therefore, this study aimed to identify and map examples of co‐production methods employed across the TUKFS programme. Two creative workshops (n = 15 participants), conversations with TUKFS researchers and stakeholders (n = 15), and systematic analysis of project documents were used to critically explore co‐production activities within six TUKFS projects. A range of co‐production activities were identified. Findings highlighted areas of 'messiness' and complexity, challenges associated with applying co‐production approaches and practical solutions. Four key shared principles for co‐production were identified: (1) Relationships: developing and maintaining reciprocity‐based partnerships; (2) Knowledge: recognising the contribution of diverse forms of expertise; (3) Power: considering power dynamics and addressing imbalances; and (4) Inclusivity: ensuring research is accessible to all who wish to participate. Opportunities for reflection and reflexivity were considered crucial across all these areas. Findings contribute important insights towards a shared conceptual understanding of co‐production for food system transformation research. This paper makes recommendations for researchers, practitioners, academic institutions and funders working in this area of research and practice. [ABSTRACT FROM AUTHOR]

Purpose: This study highlights the crucial significance of stakeholder participation in the creation of a comprehensive energy and electrical master plan for Mozambique. The purpose of this study is to deliver a practical insights that transcend theoretical concerns by digging into the subtleties of stakeholder relationships and strategic collaborations, paving the path for pragmatic and meaningful solutions that connect with real-life conditions. This debate lays the groundwork for educated decision-making, propelling Mozambique's energy industry towards a more sustainable and prosperous future. Design/methodology/approach: The study used a combined approach of stakeholder analysis (SA) and social network analysis (SNA) to enhance our understanding of the stakeholder landscape in Mozambique's energy sector. This methodological approach offers a unique vantage point to examine the individual stakeholders' roles and the intricate web of connections, partnerships, collaborations and information-sharing activities. By integrating SA and SNA, this study aims to provide a more comprehensive and dynamic depiction of stakeholder interactions, contributing methodologically to the existing body of literature. Findings: The findings also highlight the need to develop frameworks that promote private investment and joint endeavours with entities such as Cahora Bassa Dam/Mozambique Transmission Company. A consistent legal framework ensures uniform performance and a robust monitoring system for ongoing projects, improving accountability and progress tracking. Furthermore, the discussion includes enhancing the competence of the regulatory agency regulating the electricity industry. This includes tackling complex concerns with electricity pricing and other regulatory aspects relevant to private investment. A highly empowered regulatory agency is critical to creating an atmosphere conducive to long-term private sector involvement. Research limitations/implications: While the study emphasises the need to integrate multiple stakeholders, it may not detail specific issues or impediments that may develop during the engagement process. Additional research could look into potential tensions or barriers to effective collaboration. Furthermore, the study emphasises the necessity of addressing environmental impacts; it must thoroughly examine specific environmental concerns such as carbon emissions, deforestation or renewable energy possibilities. Future research could assess the suggested policies' environmental impact more extensively. Additionally, while the conclusion briefly mentions economic prosperity, a more thorough consideration of the possible economic and social implications of various energy policies could provide a greater understanding of their practicality and potential benefits. Practical implications: In terms of practical contributions, this study aspires to shed light on how stakeholder interactions can shape energy policy interventions that ensure reliable and affordable energy sources for economic development and societal well-being. By unveiling the complex network of relationships and partnerships, this study seeks to provide actionable insights for policymakers, industry players and other stakeholders involved in Mozambique's energy sector. By taking this action, this research aims to pave the way for more effective and inclusive energy policies that align with circular economy principles, thus addressing a critical need in scholarly discourse and practical implementation. Originality/value: The study underscores the critical role of energy stakeholders in shaping energy policies and projects, given their influential positions and impact on decision-making processes. While existing literature acknowledges this influence, a discernible research gap exists in comprehensively understanding how stakeholder interactions and collaborations in the energy sector affect policy interventions within a context such as Mozambique. This study seeks to bridge this gap by delving into the intricacies of stakeholder involvement and its implications for energy policy development in Mozambique. [ABSTRACT FROM AUTHOR]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Anaerobic digestion (AD), or biogas technology, is an optimal method for municipal organic waste (MOW) treatment, recovering both material and energy. This study takes a life cycle assessment perspective and examines the economic and environmental impacts of a BIO facility in Minamisanriku Town, Japan, which has utilized MOW (kitchen/food waste and surplus sludge from sewage) as local biomass resources since 2012. Stakeholder interviews were conducted to gather data on material flows and impacts. Scenario analysis considered various conditions, such as pre- and post-operation of the BIO facility, the use and non-use of digestate as liquid fertilizer, and the facility's 100% operational efficiency. The results indicate that full operation of the BIO facility and marketing of value-added products, such as branded rice grown using liquid fertilizer, could significantly reduce greenhouse gas (GHG) emissions, lower integrated environmental costs, improve the regional economy, and increase net income. In the business as usual (BAU) scenario with a 56% operation rate of the BIO facility, there is an over 10% improvement in economic and environmental impacts compared to the pre-operation baseline. This study underscores the importance of maximizing biomass utilization to develop value-added uses by enhancing, extending, and expending stakeholder collaboration. [ABSTRACT FROM AUTHOR]

Background: While oral health often takes a backseat to other health domains, it silently affects nearly half of the Worldwide population. The DELIVER project, funded by the EU's Horizon Europe program, seeks to develop a blueprint model for improving the quality of oral health care for everyone. Methods: Applying the Nominal Group Technique (NGT), 17 stakeholders from various backgrounds participated in identifying pressing issues for oral care quality improvement across practice, community, and policy levels. Results: The results revealed significant differences at the different levels, with accessibility emerging as a prominent issue, encompassing affordability, availability, and acceptability of oral healthcare services. Conclusions: These findings emphasizes the need for policy reforms, increased investments, and a shift towards preventive and patient-centered dental care practices. It highlights the importance of collaborative efforts with multi-stakeholders and prioritizing pressing issues on a multi-level to drive positive change in improving oral care quality. [ABSTRACT FROM AUTHOR]

Sprat are commercially valuable and are an important component of the North-East Atlantic ecosystem as major predators of zooplankton, competitors with herring, and prey for piscivorous fish, marine mammals, and seabirds. Despite this, insufficient information exists for Celtic Seas sprat, one of five North-East Atlantic stocks, to estimate stock status. To ensure the sustainable exploitation of sprat, the health of the Celtic Seas ecosystem, and the wider fisheries sector, we conduct a management strategy evaluation to stress test the current single-species advice framework. The aim is to evaluate whether ecosystem objectives can be achieved under single-species maximum sustainable yield and precautionary advice frameworks. An operating model was conditioned on life history theory and strategic information from ecosystem models. We showed that in-year advice using an empirical rule could achieve management objectives and help balance the trade-offs between fishing activities and ecosystem health. The approach allows ecosystem understanding to be incorporated within existing precautionary and maximum sustainable yield frameworks to provide a robust management framework that can meet multiple objectives despite uncertainty. [ABSTRACT FROM AUTHOR]

Background: Connecting end-users to research evidence has the power to improve patient knowledge and inform health decision-making. Differences in the culture and language of the end users may shape the effectiveness of knowledge mobilization (KMb). This scoping review set out to understand current approaches and methods when creating or adapting KMb products for culturally and linguistically diverse (CALD) audiences. Methods: We searched 3 databases (Ovid Medline, CINAHL via EBSCOhost, PsychINFO) from 2011 until August 2023. We included any literature about KMb product creation or adaptation processes serving CALD communities. A primary reviewer screened all identified publications and a second reviewer screened publications excluded by the primary. Data were extracted using a standardized form by one reviewer and verified by a second reviewer. Studies were categorized by type of adaptations ('surface' and/or 'deep' structure) and mapped based on type of stakeholder engagement used in the research approach (i2S model), and end-user involvement (content, design, evaluation and dissemination) in KMb product creation or adaptation. Results: Ten thousand two hundred ninety-nine unique titles and abstracts were reviewed, 670 full-text studies were retrieved and reviewed, and 78 studies were included in final data extraction and mapping. Twenty-four studies (31%) created or adapted exclusively text-based KMb products such as leaflets and pamphlets and 49 (63%) produced digital products such as videos (n = 16, 33%), mobile applications (n = 14, 29%), and eHealth websites (n = 7, 14%). Twenty-five studies (32%) reported following a framework or theory for their creation or adaptation efforts. Twenty-eight studies (36%) engaged stakeholders in the research approach. Nearly all (96%) involved end-users in creating or adapting the KMb products through involvement in content development (n = 64), design features (n = 52), evaluation (n = 44) and dissemination (n = 20). Thirty-two (41%) studies included reflections from the research teams on the processes for creating or adapting KMb products for CALD communities. Conclusion: Included studies cited a variety of methods to create or adapt KMb products for CALD communities. Successful uptake of created or adapted KMb products was often the result of collaboration and involvement with end-users for more applicable, accessible and meaningful products. Further research developing guidance and best practices is needed to support the creation or adaptation of KMb products with CALD communities. Registration: Protocol submitted to Open Science Framework on August 16, 2022 (https://osf.io/9jcw4/). [ABSTRACT FROM AUTHOR]

The intensive utilization of tropical inland water bodies for multiple and sometimes competing activities underlines the necessity for their integrated and holistic co-management. This paper presents our synthesis on lake and reservoir fisheries in South and Southeast Asia as social–ecological systems, based on a synopsis of our research findings from a previous EU-funded research programme in Sri Lanka, Thailand and the Philippines (FISHSTRAT project). The paper attempts to merge our results with recent developments in research, policy and practice. We explore the effects of the main external and internal control mechanisms of the trophic state and pinpoint to the high production potential of traditionally unexploited small indigenous fish species. The limitations of conventional centralized management systems highlight the importance of introducing transdisciplinary approaches which integrate limnology, fish ecology and fisheries with the interests of other resource using stakeholders and decision makers in order to develop locally appropriate co-management strategies for sustainable aquatic resource use. [ABSTRACT FROM AUTHOR]

Social‐ecological systems like fisheries provide food, livelihoods and recreation. However, lack of data and its integration into governance hinders their conservation and management. Stakeholders possess site‐specific knowledge crucial for confronting these challenges. There is increasing recognition that Indigenous and local knowledge (ILK) is valuable, but structural differences between ILK and quantitative archetypes have stalled the assimilation of ILK into fisheries management, despite acknowledged bias and uncertainty in scientific methods. Conducting a systematic review of fisheries‐associated ILK research (n = 397 articles), we examined how ILK is accessed, applied, distributed across space and species, and has evolved. We show that ILK has generated qualitative, semi‐quantitative and quantitative information for diverse taxa across 98 countries. Fisheries‐associated ILK research mostly targets small‐scale and artisanal fishers (70% of studies) and typically uses semi‐structured interviews (60%). We revealed large variability in sample size (n = 4–7638), predicted by the approach employed and the data generated (i.e. qualitative studies target smaller groups). Using thematic categorisation, we show that scientists are still exploring techniques, or 'validating' ILK through comparisons with quantitative scientific data (20%), and recording qualitative information of what fishers understand (40%). A few researchers are applying quantitative social science methods to derive trends in abundance, catch and effort. Such approaches facilitate recognition of local insight in fisheries management but fall short of accepting ILK as a valid complementary way of knowing about fisheries systems. This synthesis reveals that development and increased opportunities are needed to bridge ILK and quantitative scientific data. [ABSTRACT FROM AUTHOR]

Objective: To identify thoroughbred industry stakeholders' views on the yearling sales endoscopy in Australia. Design: Semi‐structured qualitative group interviews with equine veterinarians, thoroughbred breeders and yearling purchasers. Methods: Twenty‐nine experienced thoroughbred industry stakeholders participated in online focus groups: (1) equine veterinarians involved in yearling endoscopy; (2) thoroughbred breeders; and (3) yearling buyers. The focus groups were audio and video recorded and digital whiteboards were available. Data was transcribed, live‐coded and analysed thematically. Results: The main themes identified included the uncertainty surrounding the relationship between yearling laryngeal function and future performance, especially the significance of yearlings with grade 3 out of 5 laryngeal function; interobserver variability in the laryngeal function grade assigned by veterinarians to the same endoscopic exam; and the presence of intra‐horse variability in laryngeal function over different time points. Discussion: Stakeholders raised multiple concerns about the current yearling sales endoscopy process in Australia. Recommendations to address these concerns include further investigation into the race performance of yearlings identified with grade 3 laryngeal function; training of veterinarians to reduce inter‐observer variability; and the need to determine the most appropriate grading system to use in yearlings. Future research should evaluate the significance of intra‐horse variability in a yearling population. [ABSTRACT FROM AUTHOR]

Background: Globally, much work has been done by nonprofit, private, and academic groups to develop best practices for the care of people living with dementia (PLWD), including Alzheimer's disease. However, these best practices reside in disparate repositories and tend to focus on one phase of the patient journey or one relevant group. Objective: To fill this gap, we developed a Dementia Ideal Care Map that everyone in the dementia ecosystem can use as an actionable tool for awareness, policy development, funding, research, training, service delivery, and technology design. The intended audience includes (and not limited to) policymakers, academia, industry, technology developers, health system leaders, clinicians, social service providers, patient advocates, PLWD, their families, and communities at large. Methods: A search was conducted for published dementia care best practices and quality measures, which were then summarized in a visual diagram. The draft diagram was analyzed to identify barriers to ideal care. Then, additional processes, services, technologies, and quality measures to overcome those challenges were brainstormed. Feedback was then obtained from experts. Results: The Dementia Ideal Care Map summarizes the ecosystem of over 200 best practices, nearly 100 technology enablers, other infrastructure, and enhanced care pathways in one comprehensive diagram. It includes psychosocial interventions, care partner support, community-based organizations; awareness, risk reduction; initial detection, diagnosis, ongoing medical care; governments, payers, health systems, businesses, data, research, and training. Conclusions: Dementia Ideal Care Map is a practical tool for planning and coordinating dementia care. This visualized ecosystem approach can be applied to other conditions. [ABSTRACT FROM AUTHOR]

Background: Perspectives of patients, parents and professional experts on personalized regenerative implants for regenerative medicine purposes are largely unknown. Method: To better understand these perspectives, we conducted four focus groups with professional experts of mixed European nationality (n = 8), Dutch patients with regular implants (n = 8), Dutch and Belgian (n = 5) and Spanish (n = 8) parents of children with cleft palate. Results: Two overarching themes were identified: 'patient-centered research and care' and 'ambivalent attitudes toward personalized regenerative implants'. Discussion: The results reveal that stakeholders should adopt a participatory rather than an impairment discourse and address the ambivalence among professional experts, patients and parents. Conclusion: Considering stakeholder perspectives facilitates ethical and responsible development and use of personalized regenerative implants. Article highlights Background It is largely unknown how patients, parents and professional experts think about personalized regenerative implants. Learning more about their perspectives is relevant because it can assist in aligning the design and implementation of these implants with the needs and desires of stakeholders such as patients, engineers and clinicians. Results The first overarching theme that emerged from the focus groups was the importance of patient-centered research and care. Three subthemes were identified: (a) support and expectation management, (b) institutional and interdisciplinary collaboration, (c) the implant's contribution to living one's life. A second theme explored in the focus groups concerned participants expressing ambivalent attitudes toward the characteristics of personalized regenerative implants, such as their regenerative capacity, the novelty of this technology and the possibility for personalization. Discussion The first overarching theme patient-centered research and care underscores the necessity for healthcare professionals to look beyond the mere technical and clinical aspects of personalized regenerative implant treatment. In medicine in general and regenerative medicine in particular, we should facilitate a shift toward participatory discourse and change the way we talk and approach the individual, their body and illness. Some of the ambivalent attitudes identified in this study were linked to characteristics of the implant itself, particularly personalization. Personalization was viewed as a potential contributor to improved care tailored to individual needs, alongside concerns about associated cost increases. During the development and use of personalized regenerative implants, researchers should address ambivalence among professional experts, patients and parents, keeping in mind that ambivalence is not inherently negative. Conclusion The obtained results provide a valuable first step for emphasizing the need for patient-centered care and research within regenerative medicine and exploring ambivalent attitudes toward personalized regenerative implants. Further evaluation of these insights and other ethically relevant aspects of personalized regenerative implants should take place in co-creation with diverse stakeholders in parallel to the technological development of these implants. [ABSTRACT FROM AUTHOR]

Introduction: Patient and public involvement is vital for high‐quality research. Integrating patients' and providers' perspectives early in research enhances the feasibility and relevance of study results. Within our family practice‐based research network ForN, we established a standing patient advisory board (PAB) to include patients with diverse conditions and experiences. In this paper, we aim to describe the establishment and functioning of a standing PAB in family medicine research from patients' and researchers' perspectives. Methods: After each PAB meeting, patients and researchers were asked to name anonymously positive and challenging moments in a feedback form with open questions. Researchers were also asked to reflect on how they implemented the discussion content in their research projects. The responses from both groups were transferred to MAXQDA 2018 and analyzed separately using thematic analysis. Results: We analyzed 40 feedback forms from patients and 14 feedback forms from researchers. The dominant theme in the patients' feedback was 'exchange': They positively emphasized the 'exciting and open discussions' and the exchange of perspectives with one another and researchers. The clarity of the researchers' presentations and the research topics were appreciated. Researchers also positively highlighted the open atmosphere of the discussions. Presenting their research to the PAB helped most researchers reflect on their research topics from patients' perspectives and implement changes. However, researchers also mentioned several barriers to the implementation of PAB members' feedback. Conclusion: The establishment of a standing PAB in family practice research is feasible and productive both from patients' and researchers' perspectives. Patient or Public Contribution: This study reports the evaluation of the establishment of a standing PAB in family practice research. Board members are involved in the design of studies, the co‐production of interventions and information material, and the interpretation of data. [ABSTRACT FROM AUTHOR]

Sustainability has become more than just an aspiration in business. It has become an integral part of business strategy and decision‐making. Organizations have realized that adhering to sustainability with its impact on multi‐facets can drive business success. Long‐term growth requires an understanding of the relationships between people and their surroundings. Engagement of stakeholders is essential for planning, designing, implementing, and ensuring the efficacy of programmes. Due to the requirement for sustainability and the engagement of a greater stakeholder range in project planning, the project plan complexity is growing. The lack of or insufficient engagement of stakeholders throughout the project life cycle, particularly in the early phases of implementation and planning, frequently has a detrimental effect on the intended project performance. Effective stakeholder engagement is essential to counterbalance the combined effects of a lack of contextual knowledge by stakeholders and a lack of support in the field. However, this integration encounters difficulties such as resource restrictions and competing stakeholder interests. To encourage stakeholder engagement with the initiatives, project resources may be allocated based on the relative importance of competing areas. This study intends to establish a Stakeholder Engagement Framework (SEF) to increase the effectiveness of stakeholder engagement in projects by systematically evaluating potential conflicts and integrating the perspectives of stakeholders and the project management team. To do this, we use fuzzy logic inputs to account for ambiguities throughout the project life cycle, as well as stakeholder theory, value‐based management, matrix‐based dependency modeling, and total quality management to provide a framework for stakeholder participation. Then we implement the suggested SEF methodology to organize stakeholder participation for a green building project. The suggested framework will promote stakeholder participation under long‐term goals for project managers by identifying potential conflicts of interest. [ABSTRACT FROM AUTHOR]

Achieving water security requires action at all levels of governance, and cooperation among state and non-state actors, including civil society. However, in many places, participatory arrangements to enable cooperation, such as river basin committees or water user groups, have not been created, due to resource constraints or scepticism regarding their effectiveness. Here, we develop a typology of five key 'governance actions' that non-state actors may undertake to address environmental problems. We apply this typology to empirical findings from a water scarcity situation in Johor, Malaysia, where subnational civil society actors undertook a range of responses. The analysis reveals that, despite the absence of formal engagement mechanisms, civil society positively contributed to the governance of water security through 'defining issues', 'creating and sharing knowledge' and 'taking independent action' that could potentially inform wider practice, but faced challenges in 'monitoring and evaluating' or otherwise providing a critical perspective on impacts of water insecurity. The findings indicate possibilities for place-based and interest-based partnerships between government and civil society, and for supporting vertical relationships among civil society actors operating at different levels of governance. The study contributes to debates around power relations, knowledge sharing, and decision making across multilevel environmental governance. [ABSTRACT FROM AUTHOR]

For long-term success, organizations and manufacturing companies must exploit the potential strengths of collective decision making in maintenance management. The maintenance strategy selection issue has been studied in a single decision-maker framework for a long time. This research is one of the first attempts at dealing with the enhancement of maintenance management through the participation of stakeholders in the decision making process. In this context, the author introduces a participatory multi criteria decision model that combines Borda count and PROMETHEE methodology to select the most appropriate maintenance strategy; in accordance with the decision makers' preferences on a set of strategies evaluated according to conflicting criteria. Therefore, the PROMETHEE II method is used to manage the individual decisions of each stakeholder, while the Borda count is in charge of collectively selecting the best maintenance strategy, taking as a starting point stakeholder's preferences being established thanks to PROMETHEE II. In the same context, the proposed model was applied to a real scenario: a textile company, and can be easily replicated in other industries. [ABSTRACT FROM AUTHOR]

Issue Addressed: Outdoor adventure education (OAE) (programs involving outdoor activities such as rock climbing or white‐water canoeing) that participants perceive as risky, conducted in a social support setting, can be utilised by practitioners to elicit changes in educational and psychosocial outcomes to support participant adolescent wellbeing. Methods: This study garnered the opinions of an expert OAE panel on the content of future programs aiming to impact adolescent wellbeing. The panel consisted of local (Western Australia, n = 7), national (Australia, n = 4), and international (Canada, Germany, New Zealand, United Kingdom, United States, n = 7) experts. A two‐round, mixed‐methods Delphi approach was employed. Extensive formative work led to the development of a series of open‐ended questions requiring qualitative responses for round one. Panellists were also asked to respond to 17 statements using Likert scales in the second round. Results: After analysis, a consensus was reached for all statements, with five statements having high consensus and being considered important by panellists. Conclusions: The statement 'Equity for all participants requires flexible delivery and facilitation' had the highest level of agreement amongst panellists. Connections, authentic experiences, and equitable experiences developed as key themes. So What?: Future OAE interventions focused on wellbeing impact could use the findings of this research as a basis for program design. [ABSTRACT FROM AUTHOR]

Issue Addressed: Social support is positively correlated with physical activity (PA), especially amongst girls, but is underexplored in male‐dominated action sports (e.g., mountain biking, skateboarding and surfing). This study explored family level social support needs and experiences of girls and boys in three action sports. Method: Aspiring, current or former Australian adolescent (12–18 years; girls n = 25; boys n = 17) mountain bikers, skateboarders and/or surfers were individually interviewed (telephone/Skype) in 2018/2020. A socio‐ecological framework guided the semi‐structured interview schedule. Audio‐recordings were transcribed verbatim and data analysed thematically using a constant comparative approach. Results: Family level social support was highly influential in young people's participation in action sports, with its absence a common reason for no or discontinued engagement amongst girls. Parents and siblings were the main social support providers with extended family (e.g., grandparents, aunts/uncles, cousins) also notable. Participation (current/past/co‐) was the main social support type followed by emotional (e.g., encouragement), instrumental (e.g., transport, equipment/funding) and informational (e.g., coaching) support. Girls were inspired/encouraged by brothers but boys were not inspired/encouraged by sisters; boys and girls co‐participated with both parents but co‐participating and being inspired by fathers was most common, especially amongst girls; fathers were more commonly the main transport provider if they co‐participated with their child; fathers mostly provided initial coaching; only boys were taught equipment maintenance by parents. Conclusions and So What: Sport‐related organisations/groups have numerous opportunities to improve girls' representation in action sports by fostering family level social support through various means. Intervention strategies should be tailored to account for gendered participation differences. [ABSTRACT FROM AUTHOR]

This study aims to provide an overview of the service system view (SSV), and the current status of its adoption for the development and implementation of assistive technology (AT). The role of ATs in the global aging scenario is anticipated; however, their diffusion is cumbersome. The SSV captures stakeholders, technologies, and their interactions as integrated systems. Based on this perspective, several approaches for designing long‐term care services have been proposed that would be helpful for the successful implementation of ATs. However, the existing geriatrics and gerontology literature seldom addresses these topics. Based on a literature review, this study first illustrates the challenges of using ATs in the real world. The existing literature highlights the sociotechnical challenges of utilizing ATs, such as the changes required in care work and resistance to them. To overcome the challenges, three approaches associated with the SSV have been introduced: service design, service engineering and living labs. This paper also introduces recent national projects in Japan that have adopted these approaches. As the importance of the SSV is growing for the successful implementation of ATs, the ability to adopt the SSV and its approaches is anticipated. In relation to geriatrics and gerontology studies, the impact on older adults' quality of life, as well as the economic effect, needs to be analyzed in future research. Geriatr Gerontol Int 2024; 24: 74–80. [ABSTRACT FROM AUTHOR]

By addressing the question "Are the roles and values of stakeholder participation qualitatively different for non-governmental organizations (NGOs) and national human rights institutions (NHRIs), and if so, how?" this article dissects stakeholder participation in UN human rights treaty body activities. First, it normatively posits that stakeholder participation in treaty body activities carries three values, which weigh differently based on the actor and the treaty body activity concerned: facilitating "bounded" national deliberations, promoting international deliberations on human rights treaty standards, and supplementing the treaty bodies' fact-finding capacity. It offers concrete normative guidance for treaty bodies on their engagement with NGO and NHRI participation to maximize the benefits of these values. It then empirically analyzes their current practice in light of the above-mentioned normative guidance. This article contributes, first, to the theorization of stakeholder participation in treaty body activities, which has been discussed but only in generalized or fragmented ways in previous studies. Second, it supports the effectiveness and legitimacy of treaty bodies by endorsing their practice that is consistent with the guidance and finding space for improvement. Finally, it provides a rationale for establishing and strengthening NHRIs by showing that NHRI participation has unique roles distinct from those of NGOs. [ABSTRACT FROM AUTHOR]

Urban resilience must consider the ability of cities to cope with the effects of climate change. Community awareness raising and sustainable urban drainage systems (SUDs) are often mentioned in the literature as effective adaptation actions while the success of these solutions is highly context-dependent and improved planning procedures are urgently needed. In this framework, the URCA! project represents a good practice aiming to strengthen the resilience of urban areas by promoting the implementation of SUDs in territorial planning. The main objective of the present research deals with the role of participation in promoting the use of SUDs and their uptake in town planning and land management involving local communities, students, experts, local authorities, and enterprises. To this end, the research adopts a participatory approach to SUDs urban planning for three case studies in Italy selected under the criterion of maximum variation (Brescia, Genoa, and Matera). For the three case studies, participatory approaches are at different stages of development thus requiring appropriate ways of interacting and resulting in different impacts on decisions. Preliminary results, drivers, and barriers in the application of the participatory approach are discussed and compared in order to bring innovation into planning practices, stimulating a revision of typical governance mechanisms. [ABSTRACT FROM AUTHOR]

Planning for resilient cities requires an evidence-based understanding of flood risk and the involvement of stakeholders and local actors. The paper addresses research developed within the URCA!—Urban Resilience to Climate Change: to activate the participatory mapping and decision support tool for enhancing sustainable urban drainage—project. A top-down/bottom-up participatory and flexible methodology for the conception of participatory mapping aimed at the planning and installation of sustainable urban drainage systems (SUDS) on the territory is then developed. The innovative methodology is applied and tested in the case study of the Sampierdarena district in Genoa, northern Italy. This research paper illustrates the development of a participatory map (Pmap) that can support the implementation of SUDS as mitigation/adaptation strategies, integrating technical assessment and containing community visions and expectations. Findings concerning the connections between proposed SUDS locations and their frequencies confirm the relevance of the commercial area and the main traffic lanes along, confirming that all zones characterized by intense vehicular and pedestrian flow are suitable for SUDS as a solution to contribute to urban flood resilience. The georeferenced and intergenerational Pmap may be integrated into a decision support system to be developed as a guidance tool for the public administration. [ABSTRACT FROM AUTHOR]

Background: Using community-engaged research may result in interventions that reduce infant oral health disparities in underserved populations. Objective: Develop community partnerships to create a sustainable infant oral health program that meets specific community-identified needs and provides an interprofessional education experience. Methods: Partnering with the Homewood Community Engagement Center, researchers engaged and surveyed key community partners to assess the need for an infant oral health invention. Lessons Learned: Community-identified organizing principles and barriers became the framework for, "Healthy Teeth, Healthy Me," a community-driven infant oral health program. Barriers, like access to care, were addressed with community-specific solutions like agreements with local dental clinical for referrals. Conclusions: Community partnerships can be leveraged to develop oral health programs that fit specific community needs and provide resources to families at greatest risk for child dental caries. Community engagement can be used to modify the intervention to meet oral health needs of other vulnerable communities. [ABSTRACT FROM AUTHOR]

The study sought to develop and validate an innovative leadership model for improving service delivery in urban local authorities. The prevalence of poor service delivery in urban local authorities motivated this study. The selected constructs of innovative leadership are innovative and creative thinking behaviour, risk taking and change oriented leadership, stakeholder participation, public administration core values, and service leadership. Data was collected using a survey approach from residents of Harare City Council, Zimbabwe. A structured questionnaire was used to collect 415 validated responses which were analysed using AMOS structural equation modelling (SEM) application. The innovative leadership model was confirmed and the study concluded that innovative and creative thinking behaviour, risk taking and change oriented leadership stakeholder participation, service leadership, and public administration core values, as constructs of innovative leadership, can go a long way on improving service delivery challenges in urban local authorities. As a result, the study validated and concluded the role of the constructs on service delivery challenges in urban local authorities. The study therefore recommends the adoption of the tested model as a plausible solution to service delivery challenges being faced by urban local authorities. [ABSTRACT FROM AUTHOR]

Solving complex post-disaster reconstruction challenges requires the altruistic involvement of heterogeneous stakeholder groups. However, small, more organized groups, such as government parastatals, private developers, and contractors often exploit large, unorganized groups, such as affected communities, leaving them more vulnerable to future disasters. Based on data collected from a case study in Pakistan, this study proposed a framework to assess, anticipate, and mitigate the exploitation of vulnerable stakeholders in post-disaster reconstruction projects. The framework draws on influential management theories and utilizes reciprocal relationships between stakeholder attributes (power, legitimacy, and urgency), participation, and exploitation. The study also argued for non-binary treatment of stakeholder attributes. The framework will allow practitioners to address issues around the exploitation of stakeholder interests in future post-disaster reconstruction projects. [ABSTRACT FROM AUTHOR]

Family involvement in mental health treatment has been shown to improve outcomes for service users. This project used a whole system‐focused action research framework and involved service users, family members and healthcare professionals to develop ways to improve family engagement in an adult inpatient mental health service. Focus groups were conducted with two service users, two family members and four healthcare professionals to discuss their experiences of family involvement and develop initial ideas. A problem‐solving group, involving service users, family members and professionals, was used to develop the solutions. The project identified context‐specific solutions to improve family engagement, which included specific training for professionals working on the inpatient wards, questionnaires to facilitate conversations with families, and sharing information about mental health and the inpatient mental health service with families. These may be helpful for other adult inpatient services. [ABSTRACT FROM AUTHOR]

Background: Involving patient and community stakeholders in clinical trials adds value by ensuring research prioritizes patient goals both in conduct of the study and application of the research. The use of stakeholder committees and their impact on the conduct of a multicenter clinical trial have been underreported clinically and academically. The aim of this study is to describe how Study Advisory Committee (SAC) recommendations were implemented throughout the Emergency Medicine Palliative Care Access (EMPallA) trial. EMPallA is a multi-center, pragmatic two-arm randomized controlled trial (RCT) comparing the effectiveness of nurse-led telephonic case management and specialty, outpatient palliative care of older adults with advanced illness. Methods: A SAC consisting of 18 individuals, including patients with palliative care experience, members of healthcare organizations, and payers was convened for the EMPallA trial. The SAC engaged in community-based participatory research and assisted in all aspects from study design to dissemination. The SAC met with the research team quarterly and annually from project inception to dissemination. Using meeting notes and recordings we completed a qualitative thematic analysis using an iterative process to develop themes and subthemes to summarize SAC recommendations throughout the project's duration. Results: The SAC convened 16 times between 2017 and 2020. Over the course of the project, the SAC provided 41 unique recommendations. Twenty-six of the 41 (63%) recommendations were adapted into formal Institutional Review Board (IRB) study modifications. Recommendations were coded into four major themes: Scientific, Pragmatic, Resource and Dissemination. A majority of the recommendations were related to either the Scientific (46%) or Pragmatic (29%) themes. Recommendations were not mutually exclusive across three study phases: Preparatory, execution and translational. A vast majority (94%) of the recommendations made were related to the execution phase. Major IRB study modifications were made based on their recommendations including data collection of novel dependent variables and expanding recruitment to Spanish-speaking patients. Conclusions: Our study provides an example of successful integration of a SAC in the conduct of a pragmatic, multi-center RCT. Future trials should engage with SACs in all study phases to ensure trials are relevant, inclusive, patient-focused, and attentive to gaps between health care and patient and family needs. Trial Registration: Clinicaltrials.gov Identifier: NCT03325985, 10/30/2017. Plain English summary: Clinical research should involve patient and community stakeholder perspectives to make sure the study addresses questions important to the studied population. One way to do this is by creating a group of stakeholders who can advise on the conduct of a study. We assembled a Study Advisory Committee (SAC) for the Emergency Medicine Palliative Care Access (EMPallA) trial. The purpose of this clinical trial is to compare the effectiveness of nurse-led telephonic case management and specialty, outpatient palliative care of older adults with advanced illness. This paper describes how the SACs involvement translated into direct impacts on the EMPallA trial. The trial research team held regular meetings with the SAC throughout the trial process. Their involvement led to many significant changes in the trial, such as expanding recruitment inclusion criteria (Spanish-speaking patients), and including survey instruments to measure lonelines and caregiver burden. The SAC also devised strategies to overcome patient and caregiver recruitment and retention challenges, including the creation of patient-friendly materials and training for research coordinators. This study provides a successful example of how actively engaging patient and community stakeholders, through committee engagement, can promote patient priorities in all phases of a trial while facilitating patient recruitment and retention. [ABSTRACT FROM AUTHOR]

Introduction: Health systems have obtained valuable experience in dealing with various epidemics. The present study, by systematically reviewing the successful experiences of countries, presents a model for a coordinated response to pandemics by various actors in the primary healthcare system. Methods: Thirty-eight articles were obtained from Magiran, SID, PubMed, Scopus, Web of Science, and Google Scholar databases after applying the search strategy, inclusion and exclusion criteria, time-bound of 2005 to 2022, and quality assessment by Strobe checklist. The articles were assessed in terms of title, abstract, and text, and after removing duplicate and irrelevant ones, the final articles were selected. Results: This study assumed the PHC system as a leafy tree, which requires 25 background factors to strengthen its roots. Three groups of health policymakers, healthcare providers, and society must carry out the necessary measures in a coordinated and synergistic program in the four phases of crisis management, including prevention, preparedness, response, and recovery. Conclusion: Strengthening PHC in prevention, screening, testing, and outpatient treatment and mobilizing the community to take care of itself are the most successful experiences dealing with epidemics compared to treating patients in hospitals and spending significant financial and life costs. [ABSTRACT FROM AUTHOR]

Intensification of agricultural land use in traditional Andean production landscapes has led to changes in the provision of nature's contributions to people (NCP) that can threaten people's wellbeing. Understanding local stakeholders' valuation of these NCP is crucial for improving land use decisions. We implemented a spatially explicit and participatory NCP valuation method, using semi-structured interviews and participatory mapping, followed by a spatial multi-criteria decision analysis, to identify priority areas for NCP provision in a highly intensified production landscape in the Colombian Andes. We considered multiple value types, ecological, economical and sociocultural, and the points of view of different actors, orienting this towards decision-making on land use. Our results show that local actors can identify and value a wide range of NCP. However, there are also significant differences between actors. Environmentalists attached special importance to regulating NCP, while agricultural laborers focused more on agriculture-related material NCP. As we expected, tourism entrepreneurs especially valued non-material NCP related to their business experiences. Small-scale farmers tended to put more importance on regulating and non-material NCP than big farmers did. Although there was a consensus between actors as to the importance of natural ecosystems for NCP provision, agricultural actors tended to attach more importance to material NCP in areas deemed important for regulating and non-material NCP by other actors. Our main results confirm the importance of involving different stakeholders in spatial NCP valuation exercises, recognizing their different points of view to help identify possible trade-offs and synergies related to land use. [ABSTRACT FROM AUTHOR]

Systematic literature syntheses are a key element in the scientific realm, considering the steadily growing amount of available knowledge. Involving stakeholders in the research process brings a wide range of advantages, like broadening the perspectives on the problem in question, increasing the relevance of results for policy- and decision-making, the public and other end-users and thus enhancing the impact and acceptance of research. While participatory approaches are on the rise, reflections on stakeholder involvement in systematic syntheses on environmental management are scarce. We reflect on the process of involving stakeholders with expertise also from outside academia during three literature syntheses with different foci of marine and coastal ecosystem services in the Baltic Sea. Our analysis is based on notes, e-mails, minutes and recordings of internal project meetings, interviews and workshops involving both researchers and stakeholders. We discuss the challenges the participatory approach introduced and develop lessons learned to support the planning of stakeholder engagement for future literature syntheses. We conclude that stakeholder identification, communication, collaboration and knowledge translation are highly time- and resource-intensive processes. Furthermore, appropriate training and experience are necessary for the design, execution and evaluation of participatory methods tailored to each project stage. Therefore, we underline the importance of adequate consideration of the required resources during project planning and implementation. To encourage and support valuable stakeholder engagement and knowledge exchange between the research community and actors of policy and practice, more appreciation of such efforts by funding institutions and within the wider scientific community is needed. [ABSTRACT FROM AUTHOR]

Purpose: Many municipalities today, together with other stakeholders, offer group exercises for the older population via municipal meeting places, focusing on promoting good health. During the Covid-19 pandemic, these group exercises either continued in a modified form or ceased. The aim of this study was to explore involved stakeholders' experiences of group exercises for older persons arranged via municipal meeting places during the Covid-19 pandemic. Methods: Six online focus group interviews were conducted with 25 stakeholders, such as decision-makers and representatives from the non-profit sector, from seven municipalities in Sweden. Data were analysed using thematic analysis. Findings: The collaboration around the group exercises was challenged due to affected communication and decision-making. The stakeholders described the importance of adapting and finding new ways to offer group exercise. Furthermore, the re-arranging of group exercises created concerns about the well-being of the older persons but also happiness with the older persons ability to act for their own well-being during the pandemic. Conclusions: This study highlights the importance of the municipalities exchanging experiences, making the older persons more involved in the decision-making process, enabling a personcentred encounter with the older persons when exercising in groups, and strengthening supportive environments by sharing the ownership of arranging the group exercises with the older persons. [ABSTRACT FROM AUTHOR]

Due to the current pressure of rural modernization and industrialization, rural areas are facing social and environmental challenges such as a lack of cultural identity, low democratic participation, and the destruction of landscape ecology, especially in China, a large and representative developing country. The nature-based solutions (NbS) approach states that achieving the multiple benefits of nature for health and well-being requires wider stakeholder collaboration and integration of nature into the policies. Although many scholars have argued that NbS have a significant positive contribution to sustainability in rural areas, there is still a lack of clear pathways for NbS to guide farmer participation and address environmental issues. This paper first summarizes the theoretical research and practical experience of stakeholder participation for NbS through a systematic review. The literature analysis is mainly conducted from five perspectives: policies, benefits, challenges, methods, and frameworks. Combined with the "farmers as the main body" principle of China's rural revitalization strategy, this study proposes to (1) stimulate farmers' awareness of environmental protection; (2) enhance farmers' participation and sense of ownership; (3) enhance farmers' ability to take action to improve the ecological environment; and (4) integrate eco-design into their lives, make environmental protection education deeply rooted in people's hearts, and cultivate green farmers. [ABSTRACT FROM AUTHOR]

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Background: The values and preferences of stakeholders are crucial in the development of guidelines. Aim: The aim of this study was to investigate stakeholders' values and preferences regarding draft recommendations for adapted physical restraint guidelines in China. Study design: This survey research was carried out at four university‐affiliated comprehensive hospitals based in the eastern, central, western, and north eastern zones of China from January 5‐30, 2022. A 48‐item self‐report questionnaire was distributed, and values and preferences were assessed on a 10‐point Likert scale. One‐way ANOVA was used to compare values and preference scores among stakeholders. As effect‐size measures, partial η2 and Cohen's f values are reported for ANOVA results. Results: A total of 1155 stakeholders were enrolled in the study. The mean value and preference scores were higher than seven for 46 draft recommendations. There was either no significant difference in the values and preferences of the stakeholders for the draft recommendations or there was a significant difference (p values ranged from <0.001 ∼.048), but the effect size was small or very small (partial η2 value ranged from 0.011 ∼.044; Cohen's f value ranged from 0.101 ∼.214). The mean scores of patients for items related to cyber therapy and early tracheotomy were 6.84 and 6.60, respectively, which were lower than those of family members, policy‐makers, and health care professionals and were statistically significant (p < 0.001). The partial η2 and Cohen's f values of the effect size were 0.083/0.062 and 0.302/0.256, respectively, which indicated that the differences were moderate. Conclusion: These recommendations were in line with the values and preferences of stakeholders. Patients were more supportive of implementing cyber therapy or hypnosis for pain management but did not support early tracheotomy to reduce the duration of mechanical ventilation. Guideline panels could use value and preference information to revise and endorse recommendations of adapted physical restraint guidelines in critical care. Relevance to Clinical Practice: Practitioners should implement recommendations based on the values and preferences of stakeholders. [ABSTRACT FROM AUTHOR]

Indonesian watershed management continues to struggle with various problems caused by natural disasters, particularly hydrometeorological disasters, which are worsened by the effects of climate change. Coordinating and synchronizing the interest of many parties in watershed management with various scenarios of natural conditions is a big challenge in the creation of a healthy and productive watershed. Multiple initiatives have been undertaken, from establishing rules and policies to implementing them and assessing the effects, leading to various lessons being learned for better management. This article presents a study on watershed management in Indonesia and recommends alternative improvements toward healthy and productive watershed management. A combination of a descriptive qualitative analysis of the authors' experience in various research activities and a critical analysis is used to examine existing conditions and to formulate recommendations for better sustainable management toward a healthy and productive watershed. Most Indonesian watersheds are susceptible to degradation due to numerous threats. The challenges in Indonesian watershed management, including land degradation and climate-induced disasters, lack of synchronization and coordination, limited resources, and anthropogenic factors, have led to decreased watershed health and productivity and hindered effective management. Integrated management, especially at the micro-watershed level, addresses these challenges. Successful integrated watershed management requires community involvement, appropriate management action for specific locations, technological support, regulatory alignment, and stakeholder collaboration to ensure a healthy, productive, and sustainable watershed for present and future generations. [ABSTRACT FROM AUTHOR]

Despite a clear need for improvement in oral health systems, progress in oral health systems transformation has been slow. Substantial gaps persist in leveraging evidence and stakeholder values for collective problem solving. To truly enable evidence-informed oral health policy making, substantial "know-how" and "know-do" gaps still need to be overcome. However, there is a unique opportunity for the oral health community to learn and evolve from previous successes and failures in evidence-informed health policy making. As stated by the Global Commission on Evidence to Address Societal Challenges, COVID-19 has created a once-in-a-generation focus on evidence, which has fast-tracked collaboration among decision makers, researchers, and evidence intermediaries. In addition, this has led to a growing recognition of the need to formalize and strengthen evidence-support systems. This article provides an overview of recent advancements in evidence-informed health policy making, including normative goals and a health systems taxonomy, the role of evidence-support and evidence-implementation systems to improve context-specific decision-making processes, the evolution of learning health systems, and the important role of citizen deliberations. The article also highlights opportunities for evidence-informed policy making to drive change in oral health systems. All in all, strengthening capacities for evidence-informed health policy making is critical to enable and enact improvements in oral health systems. [ABSTRACT FROM AUTHOR]

This study aims to contribute to the understanding of stakeholder participation within the International Public Sector Accounting Standards Board's (IPSASB) due process. This study examines IPSASB's input legitimacy by analysing who the respondents are in exposure draft (ED) 63, Social Benefits, and to what extent they support the ED; however, the emphasis lies on the quality of the IPSASB's due process through the legitimacy theory, more precisely procedural legitimacy, by investigating to what extent the respondents' input was considered and integrated into the final International Public Sector Accounting Standards. Most respondents originate from Europe and Oceania and consist of professional associations and public sector entities. There are indications that some respondents' input was integrated; however, results indicate a clear flaw in the lack of transparency regarding how respondents' input is analysed, which makes the decision‐making process seem arbitrary and subjective and could potentially have a negative effect on the IPSASB's legitimacy. [ABSTRACT FROM AUTHOR]

Primary care (PC) is a unique clinical specialty and research discipline with its own perspectives and methods. Research in this field uses varied research methods and study designs to investigate myriad topics. The diversity of PC presents challenges for reporting, and despite the proliferation of reporting guidelines, none focuses specifically on the needs of PC. The Consensus Reporting Items for Studies in Primary Care (CRISP) Checklist guides reporting of PC research to include the information needed by the diverse PC community, including practitioners, patients, and communities. CRISP complements current guidelines to enhance the reporting, dissemination, and application of PC research findings and results. Prior CRISP studies documented opportunities to improve research reporting in this field. Our surveys of the international, interdisciplinary, and interprofessional PC community identified essential items to include in PC research reports. A 2-round Delphi study identified a consensus list of items considered necessary. The CRISP Checklist contains 24 items that describe the research team, patients, study participants, health conditions, clinical encounters, care teams, interventions, study measures, settings of care, and implementation of findings/results in PC. Not every item applies to every study design or topic. The CRISP guidelines inform the design and reporting of (1) studies done by PC researchers, (2) studies done by other investigators in PC populations and settings, and (3) studies intended for application in PC practice. Improved reporting of the context of the clinical services and the process of research is critical to interpreting study findings/results and applying them to diverse populations and varied settings in PC. [ABSTRACT FROM AUTHOR]

Background: The hospital-to-home transition remains a high-risk care interval for older adults. Skilled home health (HH) agencies are uniquely positioned to address care-transitions-associated patient safety threats. We previously developed the Hospital-to-Home-Health Transition Quality (H3TQ) Index to identify safety issues after hospital discharge. Our objective is to evaluate a participatory ergonomics process engaging stakeholders to develop strategies to implement the H3TQ into HH agency workflow to improve transition-associated safety issues in real-time. Methods: Stakeholders participated in three, two-hour Intervention Refinement Team (IRT) meetings with a focus on: (1) identifying facilitators and barriers to collect H3TQ data in real-time, (2) integration of H3TQ into workflows, and (3) sharing H3TQ safety threat information to improve care transition safety outcomes. We used the human factors engineering-informed Systems Ambiguity Framework to guide the structure of IRT meetings and qualitative data analysis to evaluate the IRT process itself. Results: Stakeholders (N = 9) represented patients, family caregivers, and HH staff. Stakeholders identified three key strategies for H3TQ implementation: (1) mechanism and timing of H3TQ data collection using multiple platforms; (2) data sharing conditions for safety reporting across the health system; and (3) identification of targeted care transitions outcomes for improvement. Participants highly rated IRT meetings regarding meeting usefulness, comfort, and degree of input into the discussion. Conclusions: The IRT participatory ergonomics process was successful. Stakeholders identified strategies to facilitate implementation of the H3TQ implementation to improve the hospital-to-HH. IRTs have potential application to other health system issues related to the care of people with complex needs. [ABSTRACT FROM AUTHOR]

Purpose The presence of multiple and diverse stakeholders is a common feature of public sector governance. This study focused on the process of stakeholder participation, aiming to define stakeholders' expectations of a regional spatial plan and then uncover paradoxes in these expectations. Sensemaking and sensegiving were used as a theoretical lens to explore reasons for the paradoxical expectations. Design/methodology/approach A Swedish case was used to qualitatively explore the initial stage of a stakeholder participation process regarding strategic spatial planning. The main empirical material comprised observations and interviews. Findings Diverse stakeholders' expectations were captured through the identification of four paradoxes, relating to the level of guidance, prioritization of stakeholders, ambition, and time horizon. With sensemaking theory as a theoretical lens, the paradoxes could be understood through mental models, emotions, narratives, and social factors. The findings show the importance of creating a shared understanding among stakeholders, with sensegiving standing out as especially important. Originality The idea of stakeholder participation and consensus building is a debated topic. The current study contributes to this field by focusing on the process and on stakeholders' diverse expectations, using paradox theory to identify and define expectations and sensemaking theory to explore why these paradoxes exist. [ABSTRACT FROM AUTHOR]

Purpose: The purpose of the study was to determine the major criteria for a credible integrated development planning (IDP) process in Mbombela municipality, Mpumalanga Province, South Africa. Design/methodology/approach: The study utilizes a combination of sequential exploratory and explanatory mixed methods. About 120 key informants participated in the structured questionnaire, and a further seven interviews were conducted as elite interviews. Four multistakeholder workshop sessions with up to sixty-six participants each were conducted. Findings: To strengthen the integrated planning in local government, the study recommended "stakeholder participation and ownership," "leadership and accountability," "impact and outcome-based focus," "a compact value chain" and "monitoring and evaluation." Originality/value: The IDP process is a tactical planning gadget designed to achieve transformation and introduce new systems of governance. IDPs currently tend to lack standard criteria to measure their performance in promoting public leadership and responding to community needs, which is a major challenge in many municipalities across South Africa. Since its introduction in 2000 to fast-track service delivery, concerns have been raised about why there are still constant protests alleged to be caused by poor service delivery. [ABSTRACT FROM AUTHOR]

Issue Addressed: The Ophelia (Optimising Health Literacy and Access to Health Services) process can be used as a practical tool for effective health promotion program delivery because of its multi‐sector and pragmatic approach to designing health interventions. An initial case study showed how its first phase was successfully adapted in a pilot community in Leyte, Philippines. In this study, the three phases of the Ophelia process were implemented in Leyte, along with additional communities in Mindoro and Surigao. Methods: After conducting needs assessment and community profiling in phase 1, the results were transformed into vignettes, hypothetical personas representing the health needs of the community. These were used in phase 2, which involved focus group discussions and workshops to cocreate intervention ideas with government organisations, practitioners, and community representatives. A rapid realist review was conducted in phase 3 to check for the feasibility of interventions. Results: Through this, the top evidence‐based health interventions for each life stage were listed and presented for prioritisation. Program implementation and impact evaluation plans were created for the top health intervention prior to implementation. Conclusions: The Ophelia process ensured that health promotion interventions addressed community needs and were designed using community resources and the wisdom of health practitioners that have been immersed in the local health system. So What?: The study demonstrated the usefulness of vignettes in presenting data to lay people and how the rapid realist review approach is a practical tool for policy‐makers to ensure that program plans designed by the communities and health practitioners are evidence‐based without sacrificing the timeliness of implementation. [ABSTRACT FROM AUTHOR]